Midway Pharmacy of Clarkson, INC
NPI #1467439083 in Caneyville, Kentucky
Provider Information
- NPI Number
- 1467439083
- Entity Type
- Organization
- Organization Name
- Midway Pharmacy of Clarkson, INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 23, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 408 EAST MAPLE STREET
- City
- Caneyville
- State
- Kentucky
- ZIP Code
- 42721
- Phone
- (270) 879-6355
Authorized Official
- Name
- DR. TREVOR RAY, PHARMD
- Title
- R.PH./SECRETARY
- Phone
- (270) 879-6355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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