Ephraim McDowell Liberty Pharmacy
Organization Active NPI Community/Retail Pharmacy · Liberty, KY
NPI 1396852307 · NPPES record last updated Apr 17, 2012
Key facts
- NPI
- 1396852307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07029 (KY)
- Legal business name
- EPHRAIM MCDOWELL LIBERTY PHARMACY
- Practice address
- 68 Hustonville Street
Liberty, KY 42539-3456 - Phone
- (859) 239-1721
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Joan B Haltom, PHARMD
- Title
- Director of Pharmacy Services
- Phone
- (859) 239-1721
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Ephraim McDowell Reg Me
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07029 | KY | Yes |
Addresses
Primary practice location
68 Hustonville Street
Liberty, KY 42539-3456
Mailing address
217 South Third Street
Dept of Pharmacy
Danville, KY 40422-8911
Phone (859) 239-1721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54011507 | Medicaid | KY |
Other names
- Wellness First Pharmacy
Other providers in Liberty, KY
- Kaitlyn Leanne Eads
- Luann Elmore
- Abigail Emerson
- Emhfl, Inc.
- Ephraim McDowell Health Resource, Inc.
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center Incorporated
- Ephraim McDowell Regional Medical Center, Incorporated
- Faith Healthcare, Inc.
- Family Home Health Care Inc
All providers in Liberty, 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 Apr 17, 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.