Organization
CLAYWELL, INC
Active
Other names
Medica Pharmacy Bloomfield
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSON ROBY RPH (PRES/CEO)
(502) 348-6623
Entity
Organization
Contact information
Practice address
204 CHAPLIN RD, BLOOMFIELD, KY 40008-7125
(502) 252-8242
(502) 252-7556
Mailing address
204 CHAPLIN RD, BLOOMFIELD, KY 40008-7125
(502) 252-8424
(502) 252-7556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07628
KY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145700
PK
—
05
—
7100285370
—
KY
Enumeration date
05/19/2014
Last updated
11/29/2021
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