PLAZA DRUG OF LONDON LLC NPI 1720537251

NPI Information

PLAZA DRUG OF LONDON LLC is a long term care pharmacy pharmacy in London, KY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PLAZA DRUG OF LONDON LLC NPI is 1720537251. The provider is registered as an organization entity type.
The provider Is Doing Business As Plaza Drug Of London.

The provider's business location address is:

731 N LAUREL RD
LONDON, KY
ZIP 40741-025
Phone: (606) 657-5245
Fax: (606) 657-5382

The provider's authorized official is Mike Sizemore .
The authorized official title is Owner/president and has the following contact phone number (606) 657-5245.

The CLIA number assigned to this NPI record is 18D2248541 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2016 and was last updated on 2/28/2017.

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:

Other Identifiers

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

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