Provider Demographics
NPI:1275637233
Name:T&C TOOLE, LLC
Entity Type:Organization
Organization Name:T&C TOOLE, LLC
Other - Org Name:MORGAN AND THOMAS PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH AND CCN
Authorized Official - Phone:502-484-3444
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:OWENTON
Mailing Address - State:KY
Mailing Address - Zip Code:40359-0457
Mailing Address - Country:US
Mailing Address - Phone:502-484-3444
Mailing Address - Fax:502-484-5151
Practice Address - Street 1:119 W SEMINARY ST
Practice Address - Street 2:
Practice Address - City:OWENTON
Practice Address - State:KY
Practice Address - Zip Code:40359-1543
Practice Address - Country:US
Practice Address - Phone:502-484-3444
Practice Address - Fax:502-484-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06757333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1807758OtherOTHER ID NUMBER-COMMERCIAL NUMBER
KY54003884Medicaid
4557930001Medicare ID - Type Unspecified