Healthcare Provider Details

I. General information

NPI: 1144213406
Provider Name (Legal Business Name): DANHAUER DRUG CO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FREDERICA ST
OWENSBORO KY
42301-3005
US

IV. Provider business mailing address

330 FREDERICA ST
OWENSBORO KY
42301-3005
US

V. Phone/Fax

Practice location:
  • Phone: 270-684-2341
  • Fax: 270-684-2396
Mailing address:
  • Phone: 270-684-2341
  • Fax: 270-684-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP0684
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP00684
License Number StateKY

VIII. Authorized Official

Name: JEFFREY WILLIAM DANHAUER
Title or Position: OWNER
Credential: R.PH.
Phone: 270-684-2341