Organization
POOLES PHARMACY CARE INC
Active
Organization
POOLES PHARMACY CARE INC
Active
Other names
POOLES PHARMACY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA POOLE BSMT (OWNER/CFO.AO)
(270) 754-1545
Entity
Organization
Contact information
Practice address
311 HENTON ST, LIVERMORE, KY 42352-2126
(270) 278-5537
(270) 278-5539
Mailing address
311 HENTON ST, P.O. BOX 91, LIVERMORE, KY 42352-2126
(270) 278-5537
(270) 278-5539
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07141
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034628
PK
—
05
—
54012497
—
KY
05
—
90013780
—
KY
Enumeration date
09/29/2006
Last updated
08/26/2015
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