| Danhauer Drugs Pharmacy Services | |
|
328 Frederica St Owensboro KY 42301 | |
| (270) 684-2341 | |
| Not Available |
| Full Name | Danhauer Drugs Pharmacy Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 328 Frederica St, Owensboro, Kentucky |
| Authorized Official Name and Position | Jeffrey Danhauer (OWNER) |
| Authorized Official Contact | 2706842341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danhauer Drugs Pharmacy Services 328 Frederica St Owensboro KY 42301 Ph: () - | Danhauer Drugs Pharmacy Services 328 Frederica St Owensboro KY 42301 Ph: (270) 684-2341 |
| NPI Number | 1104558006 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 7911373238 |
|---|---|
| Medicare Enrollment ID | O20221011002581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104558006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20210917002370 |
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