Provider Demographics
NPI:1720081763
Name:TOWNE & COUNTRY PHARMACY FLORIST & GIFTS INC
Entity Type:Organization
Organization Name:TOWNE & COUNTRY PHARMACY FLORIST & GIFTS INC
Other - Org Name:SAVE-RITE DRUGS HARDINSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:270-756-2151
Mailing Address - Street 1:675 E HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143-5802
Mailing Address - Country:US
Mailing Address - Phone:270-756-2151
Mailing Address - Fax:270-756-5199
Practice Address - Street 1:675 EAST HWY 60
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-0675
Practice Address - Country:US
Practice Address - Phone:270-756-2151
Practice Address - Fax:270-756-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06296183500000X, 333600000X
KYMG0340332BX2000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1071411OtherPASSPORT
KY54032560Medicaid
KY90050147Medicaid
KY000000189330OtherANTHEM
KY1284190001Medicare NSC