Organization Name: | SPENCER DRUG, LLC |
NPI Number: | 1851327290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P SPENCER (OWNER) |
Mailing Address: | 905 Richmond Rd Irvine |
State: | KY US |
Postal Code: | 403367230 |
Phone Number: | 6067235446 |
Fax Number: | 6067239017 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | P07289 |
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 |