Provider Demographics
NPI:1093032153
Name:CENTRAL PHARMACY
Entity Type:Organization
Organization Name:CENTRAL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:859-336-7006
Mailing Address - Street 1:805 BEL VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-2500
Mailing Address - Country:US
Mailing Address - Phone:859-336-7006
Mailing Address - Fax:859-336-0051
Practice Address - Street 1:805 BEL VISTA DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:KY
Practice Address - Zip Code:40069-2500
Practice Address - Country:US
Practice Address - Phone:859-336-7006
Practice Address - Fax:859-336-0051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYW024233336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy