OrganizationActive
Bardwell Pharmacy LLC
NPI 1720468689 · Community/Retail Pharmacy · Bardwell, KY
Provider details
- NPI number
- 1720468689
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Boaz, Pharm D(270) 628-5445
- License
- P06353 (KY)
Specialties & taxonomies
Suppliers
Practice location
178 U.S. Hwy 51 N
Bardwell, KY 42023
Phone: (270) 628-5445
Fax: (270) 628-3179
Approximate (ZIP-level) locationGet directions
Mailing address
178 U.S. Hwy 51 N
Bardwell, KY 42023
Registry dates
- Enumerated
- 2015-06-05
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.