| Organization Name: | APOTHECARE PHARMACY OF ELIZABETHTOWN PSC |
| NPI Number: | 1316960453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN GRAVIL (PHARMACIST) |
| Mailing Address: | 1239 Woodland Dr Ste 102 Elizabethtown |
| State: | KY US |
| Postal Code: | 427012770 |
| Phone Number: | 2707390303 |
| Fax Number: | 2702340101 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | P06320 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |