Organization
APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
Active
Other names
APOTHECARE PHARMACY II AT CARDINAL
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HAMM (PRESIDENT)
(270) 982-0303
Entity
Organization
Contact information
Practice address
1028 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2522
(270) 982-0303
(270) 982-2183
Mailing address
1028 N DIXIE AVE STE 100, ELIZABETHTOWN, KY 42701-2522
(270) 982-0303
(270) 982-2183
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07165
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034922
PK
—
05
—
7100005100
—
KY
Enumeration date
02/09/2007
Last updated
03/16/2022
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