MEDICARE: DR. RICHARD GLENN POJEKY PHARMD.

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	183500000X	Pharmacist	10754	KY

General Provider Information

NPI Number	:	1801136098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD GLENN POJEKY PHARMD.

Provider Business Mailing Address
First Line	:	1048 WALNUT GROVE CIR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8407
Country	:	US
Telephone Number	:	859-624-9203
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 RICHMOND RD N
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-1319
Country	:	US
Telephone Number	:	859-986-1494
Fax Number	:	859-986-1478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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