Provider Demographics
NPI:1467507277
Name:GLASGOW PRESCRIPTION CENTER INC
Entity Type:Organization
Organization Name:GLASGOW PRESCRIPTION CENTER INC
Other - Org Name:TOWNE AND COUNTRY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-651-5133
Mailing Address - Street 1:615 S L ROGERS WELLS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1074
Mailing Address - Country:US
Mailing Address - Phone:270-651-5133
Mailing Address - Fax:270-651-6198
Practice Address - Street 1:615 S L ROGERS WELLS BLVD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1074
Practice Address - Country:US
Practice Address - Phone:270-651-5133
Practice Address - Fax:270-651-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP011203336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54014493Medicaid
1811226OtherNCPDP PROVIDER IDENTIFICATION NUMBER