Healthcare Provider Details

I. General information

NPI: 1659018794
Provider Name (Legal Business Name): BAILEY BROOKE BARTLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N RACE ST
GLASGOW KY
42141-3454
US

IV. Provider business mailing address

155 SPRING VALLEY RD
TOMPKINSVILLE KY
42167-1841
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-4570
  • Fax:
Mailing address:
  • Phone: 270-427-7255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number023764
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: