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Clover Fork Outpatient Medical Project Inc
Pharmacy in Evarts, Kentucky
NPI 1376565226

Clover Fork Outpatient Medical Project Inc is a Pharmacy based in Evarts, KY. Clover Fork Outpatient Medical Project Inc practices in Evarts, KY. The NPI Number for Clover Fork Outpatient Medical Project Inc is 1376565226 and holds a License No. P01273 (Kentucky).

The current practice location address for Clover Fork Outpatient Medical Project Inc is 101 Chad St, Evarts, KY and can be reached out via phone at 606-837-2100 and via fax at 606-837-9389.

Location: 101 Chad St, Evarts, KY, 40828-0039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376565226
Provider Name
Clover Fork Outpatient Medical Project Inc
Credential
Provider Entity Type
Organization
Address
101 Chad St, Evarts, KY, 40828-0039
Phone Number
606-837-2100
Fax Number
606-837-9389
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54034913 05 KY
institution
Provider Business Practice Location Address Details
Address
101 Chad St
City
Evarts
State
Kentucky
Zip
40828
Phone Number
606-837-2100
Fax Number
606-837-9389
person
Provider Business Mailing Address Details
Address
101 Chad St
City
Evarts
State
Kentucky
Zip
40828
Phone Number
606-837-2100
Fax Number
606-837-9389
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
P01273 (Kentucky)
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
P01273 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
P01273 (Kentucky)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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