SRPB Inc
Organization Active NPI Community/Retail Pharmacy · California, KY
NPI 1487741344 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1487741344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07135 (KY)
- Legal business name
- SRPB INC
- Practice address
- 3501 Shortcut Rd
California, KY 41007-8471 - Phone
- (859) 448-0309
- Fax
- (859) 448-0312
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Samuel Coletta
- Title
- President
- Phone
- (859) 394-2027
Practitioners 2
-
Stephanie Jan Jones, PHARMD
-
Randall L Lange, RPH
National Provider Directory
Locations
3501 Shortcut Rd
California, KY 41007
Phone (859) 448-0309
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P07135 | KY | Yes |
Addresses
Primary practice location
3501 Shortcut Rd
California, KY 41007-8471
Mailing address
3501 Shortcut Rd
California, KY 41007-8471
Phone (859) 448-0309
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829728 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- FLAGG SPRINGS PHARMACY
Other providers in California, KY
- Brittany K Humphreys
- Stephanie Jan Jones
- Randall L Lange
- Anglia Dawn Memory
- Sound Beginnings, LLC
- Jo Evelyn Wilder
All providers in California, 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 Jun 13, 2011. 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.