Marrowbone Clinic Pharmacy

Organization Active NPI Clinic Pharmacy · Regina, KY

NPI 1245320290 · NPPES record last updated May 19, 2008

Key facts

NPI
1245320290
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
License
PO1360 (KY)
Legal business name
MARROWBONE CLINIC PHARMACY
Practice address
10363 Regina Belcher Hwy
Regina, KY 41559
Phone
(606) 754-7085
Fax
(606) 754-9218
NPI assigned
Oct 13, 2006
Organization subpart
No

Authorized official

Name
James Huffman, RPH
Title
Manager
Phone
(606) 754-7085

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X KY
Clinic Pharmacy 3336C0002X PO1360 KY Yes

Addresses

Primary practice location

10363 Regina Belcher Hwy
Regina, KY 41559

Mailing address

PO Box 225
Regina, KY 41559-0225

Other identifiers

IdentifierTypeStateIssuer
1813042OtherOTHER ID NUMBER-COMMERCIAL NUMBER
54016530MedicaidKY

Other providers in Regina, KY

All providers in Regina, KY · Clinic Pharmacy in Kentucky

Sources for this page

Verify at the official NPI Registry.