Healthcare Provider Details

I. General information

NPI: 1003628991
Provider Name (Legal Business Name): CLINIC PHARMACY II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 KY HIGHWAY 32 W STE 101
CYNTHIANA KY
41031-8574
US

IV. Provider business mailing address

1210 KY HIGHWAY 36 E STE G6
CYNTHIANA KY
41031-7493
US

V. Phone/Fax

Practice location:
  • Phone: 859-298-2424
  • Fax: 859-658-1755
Mailing address:
  • Phone: 859-234-2777
  • Fax: 859-234-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD STANLEY
Title or Position: EXECUTIVE DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 859-298-2845