Bluegrass Drug Store PLLC
Organization Active NPI Community/Retail Pharmacy · Danville, KY
NPI 1285900860 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1285900860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07500 (KY)
- Legal business name
- BLUEGRASS DRUG STORE PLLC
- Practice address
- 104 Ponder CT Ste E&F
Danville, KY 40422-9000 - Phone
- (859) 236-3535
- Fax
- (859) 236-3035
- NPI assigned
- Mar 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Mark Taylor
- Title
- Co-Owner/Pic
- Phone
- (859) 236-3535
Practitioners 1
-
Mark Allen Taylor, PHARMD, RPH
National Provider Directory
Locations
150 War Admiral
Ste 1
Danville, KY 40422
Phone (859) 236-3535
104 Ponder Ct
Ste Ef
Danville, KY 40422
Phone (859) 236-3535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P07500 | KY | Yes |
Addresses
Primary practice location
104 Ponder CT Ste E&F
Danville, KY 40422-9000
Mailing address
104 Ponder CT Ste E&F
Danville, KY 40422-9000
Phone (859) 236-3535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1832939 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Bluegrass Drug Store
Other providers in Danville, KY
- Victoria Olivia Bishop
- Pamela K. Blackburn-Noble
- Peggy Kessler Bland
- Bluegrass Brace Shop, LLC
- Bluegrass Chiro
- Bluegrass Hearing Clinic, LLC
- Bluegrass Neurological Services, PSC
- Bluegrass Psychiatry, Inc.
- Amy Jane Bogardus
- Christopher Lee Bostick
All providers in Danville, KY · Community/Retail 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 Mar 28, 2012. 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.