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SPENCER DRUG LLC NPI 1316975923


NPI Information

NPI: 1316975923
Provider Name: SPENCER DRUG LLC

Doing Business As: ESTILL CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
275 COURT ST
IRVINE, KY
ZIP 40336
Phone: (606) 723-0044
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SPENCER DRUG LLC is a community/retail pharmacy pharmacy in Irvine, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SPENCER DRUG LLC NPI is 1316975923. The provider is registered as an organization entity type.
The provider Is Doing Business As Estill Clinic Pharmacy.

The provider's business location address is:

275 COURT ST
IRVINE, KY
ZIP 40336-077
Phone: (606) 723-0044
Fax: (606) 723-0054

The provider's authorized official is John Spencer .
The authorized official title is Owner And Pic and has the following contact phone number (606) 723-5446.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyP07407KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171001235310MEDICAIDKENTUCKY
22126015OTHERPK
36311590002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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