Apothecary Shoppe, Inc.

Organization Active NPI Community/Retail Pharmacy · Mayfield, KY

NPI 1922011444 · NPPES record last updated Aug 28, 2010

Key facts

NPI
1922011444
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
P06775 (KY)
Legal business name
APOTHECARY SHOPPE, INC.
Practice address
1520 Cuba Rd
Mayfield, KY 42066-6809
Phone
(270) 247-3111
Fax
(270) 247-2005
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

Name
Mr. P Dave Wright
Title
Cfo
Phone
(270) 247-3111

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P06775 KY
Community/Retail Pharmacy 3336C0003X P06775 KY Yes

Addresses

Primary practice location

1520 Cuba Rd
Mayfield, KY 42066-6809

Mailing address

1520 Cuba Rd
Mayfield, KY 42066-6809
Phone (270) 247-3111

Other identifiers

IdentifierTypeStateIssuer
1827483OtherKYNCPDP PROVIDER NUMBER
90006784MedicaidKY
54003520MedicaidKY

Other providers in Mayfield, KY

All providers in Mayfield, KY · Community/Retail Pharmacy in Kentucky

Sources for this page

Verify at the official NPI Registry.