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Contact Information

APOTHECARE PHARMACY OF ELIZABETHTOWN PSC
1239 WOODLAND DR STE 102
ELIZABETHTOWN, KY42701-2770
 Phone: 270-739-0303
 Fax: 270-234-0101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for APOTHECARE PHARMACY OF ELIZABETHTOWN PSC

NPI # 1316960453
LBN Legal business name APOTHECARE PHARMACY OF ELIZABETHTOWN PSC
Authorized official MARTIN GRAVIL - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2006
Last updated 03/16/2022 - About 4 years ago
Identifiers
KY License # P06320
KY Medicaid 54033097
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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