| NPI | 1205858206 |
|---|---|
| Doing Business As | BARDWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOAZ Owner Pharmacist 270-628-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06353) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-12-28 |