Organization
ORTHOCINCY
Active
Other names
Commonwealth Orthopaedic Centers PSC
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN M REIS CEO (CEO/MANGER)
(859) 817-7070
Entity
Organization
Contact information
Practice address
8726 US 42, FLORENCE, KY 41042
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
P07668
KY
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149072
PK
—
Enumeration date
12/31/2014
Last updated
09/08/2017
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