Provider Demographics
NPI:1548963309
Name:POOLE'S CLINICAL SOLUTIONS, INC.
Entity type:Organization
Organization Name:POOLE'S CLINICAL SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-543-3886
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:KY
Mailing Address - Zip Code:42352-0091
Mailing Address - Country:US
Mailing Address - Phone:270-486-1534
Mailing Address - Fax:270-278-2369
Practice Address - Street 1:102 W BROAD ST
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330-1538
Practice Address - Country:US
Practice Address - Phone:270-754-1545
Practice Address - Fax:270-754-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy