Brandenburg Custom Meds LLC
NPI #1538377114 in Brandenburg, Kentucky
Provider Information
- NPI Number
- 1538377114
- Entity Type
- Organization
- Organization Name
- Brandenburg Custom Meds LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 455 BYPASS RD STE C
- City
- Brandenburg
- State
- Kentucky
- ZIP Code
- 40108-1745
- Phone
- (270) 422-2477
Authorized Official
- Name
- MR. DALE RAY GODBY, R.PH.
- Title
- OWNER
- Phone
- (270) 422-2477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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