| NPI | 1437158730 |
|---|---|
| Doing Business As | BLUEGRASS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY STEPHEN RUSSELL President 270-825-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY 1392) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY PO1392) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: KY PO1392) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-05-20 |