| Organization Name: | ELY DRUGS INC |
| NPI Number: | 1093713463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRAVIS KYLE HUDNALL (OWNER/PRESIDENT) |
| Mailing Address: | 415 Happy Valley Road Glasgow |
| State: | KY US |
| Postal Code: | 42141 |
| Phone Number: | 2706518359 |
| Fax Number: | 2706515741 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 01/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |