Organization
TOMPKINSVILLE DRUGS LLC
Active
Other names
TOMPKINSVILLE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P NIXON (OWNER)
(270) 487-6155
Entity
Organization
Contact information
Practice address
1513 EDMONTON RD, TOMPKINSVILLE, KY 42167-9402
(270) 487-6155
(270) 487-6157
Mailing address
1513 EDMONTON RD, TOMPKINSVILLE, KY 42167-9402
(270) 487-6155
(270) 487-6157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
P00880
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029139
PK
—
05
—
54006275
—
KY
05
—
90050865
—
KY
05
—
9005086500
—
KY
Enumeration date
08/28/2006
Last updated
07/20/2021
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