1912217589 LAKE CUMBERLAND PHARMACY LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
LAKE CUMBERLAND PHARMACY LLC
Enumeration Date
October 18, 2010
Last Update
November 14, 2024
Authorized Official
JONATHAN GIDER PHARMD
PHARMACIST-IN-CHARGE
Phone: (270) 585-2221

Practice Location

Address
2431C LAKEWAY DR
RUSSELL SPRINGS, KY 426424510
Phone
(270) 858-6400
Fax
(270) 866-7542

Mailing Address

Address
PO BOX 72
RUSSELL SPRINGS, KY 426420072
Phone
(270) 585-2221

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
333600000X Pharmacy N/A N/A No
Home Infusion Therapy Pharmacy
Home Infusion Therapy Pharmacy
3336H0001X Pharmacy N/A N/A No
Parenteral & Enteral Nutrition Supplies (DME)
Parenteral & Enteral Nutrition
332BP3500X Durable Medical Equipment & Medical Supplies N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy P07417 KY Primary

Other Identifiers

Identifier Type State Issuer
7100146780 05 KY N/A
2127210 01 N/A PK

Frequently Asked Questions

What is LAKE CUMBERLAND PHARMACY LLC's NPI number?
LAKE CUMBERLAND PHARMACY LLC's NPI number is 1912217589.
Which doctor has NPI number 1912217589?
The doctor with NPI number 1912217589 is LAKE CUMBERLAND PHARMACY LLC.
What is LAKE CUMBERLAND PHARMACY LLC's practice address?
LAKE CUMBERLAND PHARMACY LLC's practice address is 2431C LAKEWAY DR, RUSSELL SPRINGS, KY, 426424510.
Which doctor practices at 2431C LAKEWAY DR, RUSSELL SPRINGS, KY, 426424510?
LAKE CUMBERLAND PHARMACY LLC practices at 2431C LAKEWAY DR, RUSSELL SPRINGS, KY, 426424510.
What is LAKE CUMBERLAND PHARMACY LLC's mailing address?
LAKE CUMBERLAND PHARMACY LLC's mailing address is PO BOX 72, RUSSELL SPRINGS, KY, 426420072.
What is LAKE CUMBERLAND PHARMACY LLC's phone number?
LAKE CUMBERLAND PHARMACY LLC's phone number is (270) 858-6400.
Who is (270) 858-6400?
(270) 858-6400 is the phone number for LAKE CUMBERLAND PHARMACY LLC.
What is LAKE CUMBERLAND PHARMACY LLC's specialty?
LAKE CUMBERLAND PHARMACY LLC's specialty is Community/Retail Pharmacy.
What type of doctor is LAKE CUMBERLAND PHARMACY LLC?
LAKE CUMBERLAND PHARMACY LLC is a Community/Retail Pharmacy.
Is LAKE CUMBERLAND PHARMACY LLC a Community/Retail Pharmacy?
Yes, LAKE CUMBERLAND PHARMACY LLC is a Community/Retail Pharmacy.
Is LAKE CUMBERLAND PHARMACY LLC still practicing?
Yes, LAKE CUMBERLAND PHARMACY LLC is currently practicing.
Is LAKE CUMBERLAND PHARMACY LLC accepting new patients?
LAKE CUMBERLAND PHARMACY LLC may be accepting new patients. Please call their office at (270) 858-6400 to inquire about availability.
Is NPI 1912217589 still active?
Yes, NPI 1912217589 is currently active.
Where does LAKE CUMBERLAND PHARMACY LLC practice?
LAKE CUMBERLAND PHARMACY LLC practices in RUSSELL SPRINGS, KY.