Organization
COMMONWEALTH FAMILY PHARMACY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY JOYCE LOGSDON (OWNER)
(270) 499-0788
Entity
Organization
Contact information
Practice address
1915 PARRISH AVE SUITE 100, OWENSBORO, KY 42303
(270) 499-0788
Mailing address
1915 PARRISH AVENUE SUITE 100, OWENSBORO, KY 42303
(270) 499-0788
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07551
KY
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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