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BARDWELL PHARMACY LLC NPI 1750879524


NPI Information

NPI: 1750879524
Provider Name: BARDWELL PHARMACY LLC

Doing Business As: BARDWELL PHARMACY LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
178 US HWY 51N
BARDWELL, KY
ZIP 42023
Phone: (270) 628-5445
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BARDWELL PHARMACY LLC is a long term care pharmacy pharmacy in Bardwell, 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. BARDWELL PHARMACY LLC NPI is 1750879524. The provider is registered as an organization entity type.
The provider Is Doing Business As Bardwell Pharmacy Ltc.

The provider's business location address is:

178 US HWY 51N
BARDWELL, KY
ZIP 42023
Phone: (270) 628-5445
Fax: (618) 628-3179

The provider's authorized official is Chris Augustus .
The authorized official title is Owner and has the following contact phone number (270) 628-5445.

The enumeration date for this NPI number is 4/27/2018 and was last updated on 11/18/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyP07718KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
154020524MEDICAIDKENTUCKY
22177467OTHERPK

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: 4/28/2024

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