Healthcare Provider Details

I. General information

NPI: 1548336647
Provider Name (Legal Business Name): B & K PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 10/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 CENTRAL AVE
S WILLIAMSON KY
41503-4121
US

IV. Provider business mailing address

412 CENTRAL AVE
S WILLIAMSON KY
41503-4121
US

V. Phone/Fax

Practice location:
  • Phone: 606-237-7430
  • Fax: 606-237-7438
Mailing address:
  • Phone: 606-237-7430
  • Fax: 606-237-7438

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 NumberP02080
License Number StateKY

VIII. Authorized Official

Name: LARRY BARNETT
Title or Position: PRES AND PHARM
Credential: RPH
Phone: 606-237-7430