Lake Cumberland Pharmacy LLC
Lake Cumberland Pharmacy LLC is a Parenteral & Enteral Nutrition Supplies (DME) in Russell Springs, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.
- Licensed in
- KY
- In the registry since
- 2010
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2431C Lakeway DrRussell Springs, KY 42642-4510
Phone: (270) 858-6400
Fax: (270) 866-7542
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence P07417 (KY) |
|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
| Pharmacy | Taxonomy 333600000X |
| Home Infusion Therapy Pharmacy | Taxonomy 3336H0001X |
Record details
| NPI number | 1912217589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Gider — Pharmacist-In-Charge · (270) 585-2221 |
| Other names | Lake Cumberland Pharmacy |
| NPI enumerated | October 18, 2010 |
| Last updated in NPPES | November 14, 2024 |
| Certification date | November 14, 2024 |
| Mailing address | Po Box 72, Russell Springs, KY 42642-0072 |
Other providers in Russell Springs
-
Lake Cumberland Pharmacy LLC
124 Dowell Rd, Russell Springs, KY 42642-4278 · (270) 866-2686