Provider Demographics
NPI:1679711741
Name:GLASGOW PRESCRIPTION CENTER, INC.
Entity type:Organization
Organization Name:GLASGOW PRESCRIPTION CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-651-8889
Mailing Address - Street 1:615 S L ROGERS WELLS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-1074
Mailing Address - Country:US
Mailing Address - Phone:270-651-8889
Mailing Address - Fax:270-651-8873
Practice Address - Street 1:615 S L ROGERS WELLS BLVD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1074
Practice Address - Country:US
Practice Address - Phone:270-651-8889
Practice Address - Fax:270-651-8873
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLASGOW PRESCRIPTION CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-28
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP004713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy