Healthcare Provider Details

I. General information

NPI: 1043565427
Provider Name (Legal Business Name): JOE M KASH RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 MILLER DR
OWINGSVILLE KY
40360-2212
US

IV. Provider business mailing address

53 MILLER DR
OWINGSVILLE KY
40360-2212
US

V. Phone/Fax

Practice location:
  • Phone: 606-674-6334
  • Fax: 606-674-2059
Mailing address:
  • Phone: 606-674-6334
  • Fax: 606-674-2059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number007767
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: