Bardwell Pharmacy LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Bardwell, KY

NPI 1851925986 · NPPES record last updated Feb 27, 2020

Key facts

NPI
1851925986
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
BARDWELL PHARMACY LLC
Practice address
178 US Highway 51 N
Bardwell, KY 42023-9096
Phone
(270) 628-5445
Fax
(270) 628-3179
NPI assigned
Feb 27, 2020
Organization subpart
Yes
Parent organization (as reported)
BARDWELL PHARMACY LLC

Authorized official

Name
Dr. Chris Augustus, PHARMD
Title
Owner/Pharmacist
Phone
(270) 628-5445

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bardwell Pharmacy LLC (2 organizations share this tax ID)
Part of
Bardwell Pharmacy LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Pharmacy 333600000X

Addresses

Primary practice location

178 US Highway 51 N
Bardwell, KY 42023-9096

Mailing address

PO Box 335
Bardwell, KY 42023-0335
Phone (270) 628-5445

Other names

  • Bardwell Pharmacy DME Doing business as

Other providers in Bardwell, KY

All providers in Bardwell, KY · Durable Medical Equipment & Medical Supplies in Kentucky

Sources for this page

Verify at the official NPI Registry.