Organization
CRESTVILLE DRUGS INC
Active
Other names
THE PHARMACY AT TANNER STATION
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SCHICKLING RPH (PRESIDENT)
(859) 341-1666
Entity
Organization
Contact information
Practice address
1980 N BEND RD, STE C, HEBRON, KY 41048-9123
(859) 689-9084
(859) 689-9444
Mailing address
1980 N BEND RD, STE C, HEBRON, KY 41048-9123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PO7056
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829146
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54011119
—
KY
Enumeration date
06/11/2006
Last updated
09/11/2025
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