Organization
CAVE CITY RX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BRANSTETTER RPH (OWNER)
(270) 773-2252
Entity
Organization
Contact information
Practice address
101 S DIXIE HWY, CAVE CITY, KY 42127-0596
(270) 773-2252
Mailing address
PO BOX 596, CAVE CITY, KY 42127-0596
(270) 773-2252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070098
DME
KY
05
—
90013665
—
KY
Enumeration date
07/08/2005
Last updated
08/27/2008
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