| NPI | 1750879524 |
|---|---|
| Doing Business As | BARDWELL PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | CHRIS AUGUSTUS Owner 270-628-5445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: KY P07718) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2020-11-18 |