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PRESCRIPTION COMPOUNDING SHOPPE

Medical Equipment Supplier Yellow Pages

Campbellsville, Kentucky

Provider NPI: 1679733034

Organization Information:
Organization Name:  PRESCRIPTION COMPOUNDING SHOPPE


Practice Location:
327 E BROADWAY ST  CAMPBELLSVILLE, KY 42718 US
Tel: 270-465-3784  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
KYPO6571

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER183072101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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