Provider Demographics
NPI:1164536140
Name:OHIO COUNTY DRUGS INC
Entity Type:Organization
Organization Name:OHIO COUNTY DRUGS INC
Other - Org Name:SPINKS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-298-7688
Mailing Address - Street 1:1135 SPINKS SHOPPING CNTR
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347
Mailing Address - Country:US
Mailing Address - Phone:270-298-7688
Mailing Address - Fax:270-298-9338
Practice Address - Street 1:1135 SPINKS SHOPPING CNTR
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347
Practice Address - Country:US
Practice Address - Phone:270-298-7688
Practice Address - Fax:270-298-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO6317332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90050923Medicaid
KY54006432Medicaid
KY90050923Medicaid