Provider Demographics
NPI:1851300404
Name:PHARMACY 2, INC.
Entity Type:Organization
Organization Name:PHARMACY 2, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-885-3605
Mailing Address - Street 1:82 SPRUCE STREET BUSINESS CENTER
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:82 SPRUCE STREET BUSINESS CENTER
Practice Address - Street 2:SUITE 102
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071
Practice Address - Country:US
Practice Address - Phone:270-767-1502
Practice Address - Fax:866-233-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06750333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1317580001Medicare ID - Type Unspecified