Provider Demographics
NPI:1003628991
Name:CLINIC PHARMACY II, LLC
Entity type:Organization
Organization Name:CLINIC PHARMACY II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:859-234-2777
Mailing Address - Street 1:1210 KY HIGHWAY 36 E STE G6
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7493
Mailing Address - Country:US
Mailing Address - Phone:859-234-2777
Mailing Address - Fax:859-234-2775
Practice Address - Street 1:127 KY HIGHWAY 32 W
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-8574
Practice Address - Country:US
Practice Address - Phone:859-298-2424
Practice Address - Fax:859-658-1755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy