Whalio Doctors

NPI 1073627055

C D S 10 Pharmacy LLC

Organisation Community/Retail Pharmacy Bowling Green, KY

Practice location

Address
1308 Ashley Cir, Bowling Green, KY 42104-3339
Phone
(270) 781-5661
Fax
(270) 781-5652

Authorised official

Name
Richard Lacefield
Title
Owner Pharmacist
Phone
(270) 781-5661

Registered specialties (4)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence P00972 (KY)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1073627055
Entity type
Organization
NPI issued
18 Aug 2006
Record last updated
23 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.