0424 INC
Pharmacy, Community/Retail Pharmacy in Hodgenville, KY. Organization (NPI-2).
NPI number1093035354
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1093035354
- Entity type
- Organization (NPI-2)
- Legal business name
- 0424 INC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2010
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | p07385 | KY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Lincoln Parkway Pharmacy (Doing Business As)
Practice location
117 Lincoln DrHodgenville, KY 42748-9780
Phone 270-358-2117 · Fax 270-358-2100
Mailing address
117 Lincoln DrHodgenville, KY 42748-9780
Phone 270-358-2117 · Fax 270-358-2100
Authorized official
David Earl Bowman
Owner
2703582117
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