MEDICARE: HOPKINS DRUG CO., 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	P06789	KY
2	3336C0003X	Community/Retail Pharmacy	P06789	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1538266747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPKINS DRUG CO., INC.

Provider Business Mailing Address
First Line	:	116 E MAIN ST
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-1154
Country	:	US
Telephone Number	:	859-289-5122
Fax Number	:	859-289-7710

Provider Business Practice Location Address
First Line	:	116 E MAIN ST
Second Line	:
City	:	CARLISLE
State	:	KY
Zip	:	40311-1154
Country	:	US
Telephone Number	:	859-289-5122
Fax Number	:	859-289-7710

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	ANGELA B DEMOSS
Credential	:	RPH
Telephone Number	:	859-289-5122

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/27/2008

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Directions to “HOPKINS DRUG CO., INC. ” Practice Location

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