Organization
LONE OAK PHARMACY INC
Active
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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