Western State Hospital Pharmacy

NPI 1043497480 - Pharmacy - 3336I0012X

NPI Details
NPI 1043497480
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROGER ROGER
Position DIRECTOR OF ADMINISTRATIVE SERVICES
Phone (270) 889-6025
Fax (270) 889-5062
Practice Location
2400 RUSSELLVILLE RD
HOPKINSVILLE KY, 42240-8095, US
Phone (270) 889-6025
Fax (270) 889-5062
Business Location
2400 RUSSELLVILLE RD
HOPKINSVILLE KY, 42240-8095, US
Phone (270) 889-6025
Fax (270) 889-5062
Toxanomy
Taxonomy Code 3336I0012X
License State Kentucky
License Number P06561
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According to our database, Western State Hospital Pharmacy NPI is 1043497480, taxonomy code is 3336I0012X and license number is P06561, license state is located at Kentucky. Western State Hospital Pharmacy physically located at 2400 Russellville Rd, Hopkinsville KY, 42240-8095. NPI Number 1033115704 has the healthcare provider type.

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1043497480 NPI number is provided on an as is basis without warranty of any kind. 1043497480 is maintained by the National Plan & Provider Enumeration System. The contents of Western State Hospital Pharmacy are for informational purposes only.