MEDICARE: CARLISLE DRUG 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	333600000X	Pharmacy	P00817	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
2	1803964	OTHER		NABP

General Provider Information

NPI Number	:	1942310289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLISLE DRUG INC

Provider Business Mailing Address
First Line	:	126 E MAIN ST
Second Line	:	CARLISLE DRUG INC
City	:	CARLISLE
State	:	KY
Zip	:	40311-1154
Country	:	US
Telephone Number	:	859-289-2528
Fax Number	:	859-289-2246

Provider Business Practice Location Address
First Line	:	126 E MAIN ST
Second Line	:	CARLISLE DRUG INC
City	:	CARLISLE
State	:	KY
Zip	:	40311-1154
Country	:	US
Telephone Number	:	859-289-2528
Fax Number	:	859-289-2246

Authorized Official
Title or Position	:	PRES RPH
Name	:	THOMAS RUSSELL LAWRENCE
Credential	:	RPH
Telephone Number	:	859-289-2528

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/07/2023

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Directions to “CARLISLE DRUG INC ” Practice Location

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