Organization
LONE OAK PHARMACY INC
Active
Other names
Lone Oak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LOWE RPH (PRESIDENT AND OWNER)
(270) 554-7944
Entity
Organization
Contact information
Practice address
3535 LONE OAK RD, PADUCAH, KY 42003-5701
(270) 554-7944
(270) 554-4006
Mailing address
3535 LONE OAK RD, PADUCAH, KY 42003-5701
(270) 554-7944
(270) 554-4006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1826176
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54000112
—
KY
05
—
90000142
—
KY
Enumeration date
08/03/2006
Last updated
06/16/2010
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