Healthcare Provider Details

I. General information

NPI: 1467507277
Provider Name (Legal Business Name): GLASGOW PRESCRIPTION CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 S L ROGERS WELLS BLVD
GLASGOW KY
42141-1074
US

IV. Provider business mailing address

615 S L ROGERS WELLS BLVD
GLASGOW KY
42141-1074
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-5133
  • Fax: 270-651-6198
Mailing address:
  • Phone: 270-651-5133
  • Fax: 270-651-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP01120
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHARLES OLIVER
Title or Position: PRESIDENT
Credential:
Phone: 270-651-5133