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NPI Code Detail

MEDICARE: THRIFTY PHARMACY, INC.

MEDICARE: THRIFTY PHARMACY, INC.
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
1332B00000XDurable Medical Equipment & Medical SuppliesP06919KY
23336C0003XCommunity/Retail PharmacyP06919KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P06919OTHERPHARMACY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255478434
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIFTY PHARMACY, INC.
Provider Business Mailing Address
First Line : 127 E MAIN ST
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-1268
Country : US
Telephone Number : 270-667-2049
Fax Number : 270-667-7230
Provider Business Practice Location Address
First Line : 127 E MAIN ST
Second Line :
City : PROVIDENCE
State : KY
Zip : 42450-1268
Country : US
Telephone Number : 270-667-2049
Fax Number : 270-667-7230
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : JACKIE BRANSON
Credential :
Telephone Number : 270-667-2049
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/22/2021

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Directions to “THRIFTY PHARMACY, INC. ” Practice Location

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