Organization
VALUE RX BLUEGRASS
Active
Other names
Cayce's Eagle Way Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WALTERS RPH (MEMEBER)
(606) 269-2965
Entity
Organization
Contact information
Practice address
211 BURLEY AVE, HOPKINSVILLE, KY 42240
(270) 885-1220
(270) 885-5454
Mailing address
211 BURLEY AVE, HOPKINSVILLE, KY 42240
(270) 885-1220
(270) 885-5454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07816
KY
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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