MEDICARE: SHEARER DRUG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	P01501	KY

General Provider Information

NPI Number	:	1023167848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEARER DRUG

Provider Business Mailing Address
First Line	:	100 TWIN LAKES MEDICAL CTR
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TWIN LAKES MEDICAL CTR
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1076
Country	:	US
Telephone Number	:	606-387-6616
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KENT SHEARER
Credential	:
Telephone Number	:	606-387-6616

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

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Directions to “SHEARER DRUG ” Practice Location

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