Commonwealth of Kentucky

NPI #1124144456 in Hopkinsville, Kentucky

Provider Information

NPI Number
1124144456
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Pharmacist
Enumeration Date
Mar 21, 2007
Last Updated
Jul 8, 2015

Practice Location

Address
2400 RUSSELLVILLE ROAD
ZIP Code
42240
Phone
(270) 889-6025

Authorized Official

Name
STEPHANIE CRAYCRAFT
Title
DIRECTOR
Phone
(502) 782-6243

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacist - PsychiatricPsychiatric
Pharmacist - GeriatricGeriatric
Pharmacist

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