Healthcare Provider Details

I. General information

NPI: 1194830125
Provider Name (Legal Business Name): SAVE-ON DRUGS OF CADIZ INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 MAIN ST
CADIZ KY
42211-9155
US

IV. Provider business mailing address

PO BOX 390
CADIZ KY
42211-0390
US

V. Phone/Fax

Practice location:
  • Phone: 270-522-3211
  • Fax: 270-522-5479
Mailing address:
  • Phone: 270-522-3211
  • Fax: 270-522-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP02018
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICHARD CLEMENT
Title or Position: OWNER,PIC,AO
Credential: RPH
Phone: 270-924-1191