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NPI Code Detail

MEDICARE: WESTOWNE PHARMACY INC

MEDICARE: WESTOWNE 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 Supplies

Other Identifiers

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

General Provider Information

NPI Number : 1275723710
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTOWNE PHARMACY INC
Provider Business Mailing Address
First Line : 2755 W PARK DR
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9058
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2755 W PARK DR
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9058
Country : US
Telephone Number : 270-443-0909
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CHARLES TUCKER
Credential :
Telephone Number : 270-443-0909
Provider Enumeration Date : 07/31/2007
Last Update Date : 07/31/2007

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Directions to “WESTOWNE PHARMACY INC ” Practice Location

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