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College Square Pharmacy
Pharmacy in Berea, Kentucky
NPI 1992790984

College Square Pharmacy is a Pharmacy based in Berea, KY. College Square Pharmacy practices in Berea, KY. The NPI Number for College Square Pharmacy is 1992790984 and holds a License No. P06904 (Kentucky).

The current practice location address for College Square Pharmacy is 191 Glades Rd, Berea, KY and can be reached out via phone at 859-986-0500 and via fax at 859-986-0505.

Location: 191 Glades Rd, Berea, KY, 40403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992790984
Provider Name
College Square Pharmacy
Credential
Provider Entity Type
Organization
Address
191 Glades Rd, Berea, KY, 40403
Phone Number
859-986-0500
Fax Number
859-986-0505
Provider Enumeration Date
09/15/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54006085 05 KY
90008384 05 KY
P300037221 01 KY PTAN
institution
Provider Business Practice Location Address Details
Address
191 Glades Rd
City
Berea
State
Kentucky
Zip
40403
Phone Number
859-986-0500
Fax Number
859-986-0505
person
Provider Business Mailing Address Details
Address
191 Glades Rd
City
Berea
State
Kentucky
Zip
40403
Phone Number
859-986-0500
Fax Number
859-986-0505
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
P06904 (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
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
P06904 (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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