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TOMPKINSVILLE DRUGS LLC

Managed Care Organization Pharmacy

Tompkinsville, Kentucky

Provider NPI: 1952419046

Organization Information:
Organization Name:  TOMPKINSVILLE DRUGS LLC


Practice Location:
1513 EDMONTON RD  TOMPKINSVILLE, KY 42167 US
Tel: 270-487-6155  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336M0003XSuppliers
Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
N3336C0002XSuppliers
Pharmacy
N3336C0003XSuppliers
Pharmacy
KYP00880
Y3336C0003XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
PK202913901
9005086500KY05
90050865KY05
54006275KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS KY - Page 1



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