Organization Name: | RUSSELL SPRINGS PHARMACY |
NPI Number: | 1841348406 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF WARNER (PHARMACIST PARTNER) |
Mailing Address: | 92 Joe T Petty Dr Ste 100 Russell Springs |
State: | KY US |
Postal Code: | 426428544 |
Phone Number: | 2708662778 |
Fax Number: | 2708662779 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |