Apothecare Pharmacy of Elizabethtown P S C
Organization Active NPI Community/Retail Pharmacy · Radcliff, KY
NPI 1801164348 · NPPES record last updated Mar 29, 2016
Key facts
- NPI
- 1801164348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07481 (KY)
- Legal business name
- APOTHECARE PHARMACY OF ELIZABETHTOWN P S C
- Practice address
- 189 E Lincoln Trail Blvd
Radcliff, KY 40160-1253 - Phone
- (270) 352-0303
- Fax
- (270) 352-0101
- NPI assigned
- Dec 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Gary Hamm
- Title
- President
- Phone
- (270) 234-3907
National Provider Directory
Locations
189 E Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 352-0303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07481 | KY | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
189 E Lincoln Trail Blvd
Radcliff, KY 40160-1253
Mailing address
189 E Lincoln Trail Blvd
Radcliff, KY 40160-1253
Phone (270) 352-0303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100188890 | Medicaid | KY | |
| 2133160 | Other | PK |
Other names
- ApotheCARE Pharmacy III
Other providers in Radcliff, KY
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- Lori Allen
- Samantha P Allen
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- Angela R Shelton DMD PSC
- Rose Archemetre
- Sharon E Arflin
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- Shantel Atkins
All providers in Radcliff, 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 29, 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.