Apothecare Pharmacy of Elizabethtown P S C
Organization Active NPI Long Term Care Pharmacy · Elizabethtown, KY
NPI 1083069728 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1083069728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- P06320 (KY)
- Legal business name
- APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
- Practice address
- 1239 Woodland Dr Ste 102
Suite 102
Elizabethtown, KY 42701-2770 - Phone
- (270) 739-0303
- Fax
- (270) 234-0101
- NPI assigned
- May 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Gary Hamm
- Title
- President
- Phone
- (270) 739-0303
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Apothecare Pharmacy II at Cardinal
Locations
1239 Woodland Dr
Ste 102
Elizabethtown, KY 42701
Phone (270) 739-0303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | P06320 | KY | Yes |
Addresses
Primary practice location
1239 Woodland Dr Ste 102
Suite 102
Elizabethtown, KY 42701-2770
Mailing address
1239 Woodland Dr
Suite 102
Elizabethtown, KY 42701-2770
Phone (270) 739-0303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159809 | Other | PK | |
| 54033097 | Medicaid | KY | |
| 90270471 | Medicaid | KY |
Other names
- APOTHECARE PHARMACY OF ELIZABETHTOWN
Other providers in Elizabethtown, KY
- Kevin Carter Andres
- Douglas Michael Ansert Jr.
- Anthony E. Abang, M.D., PLLC.
- Beenash Anwer
- Apothecare Pharmacy of Elizabethtown P S C
- Apothecare Pharmacy of Elizabethtown P S C
- Apothecare Pharmacy of Elizabethtown P S C
- Apothecare Pharmacy of Elizabethtown PSC
- Richard Applegate
- Aptiva Health
All providers in Elizabethtown, KY · Long Term Care Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.