# PINEVILLE COMMUNITY HOSPITAL IN-PATIENT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821127895
- **Authorized official:** DR. CAROL LYNN AYERS PHARM.D. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (606) 337-3051

## Contact information

- **Practice address:** 850 RIVERVIEW AVE, PINEVILLE, KY 40977-1430
- **Practice address phone:** (606) 337-3051
- **Practice address fax:** (606) 337-4309
- **Mailing address:** 850 RIVERVIEW AVE, PINEVILLE, KY 40977-1430
- **Mailing address phone:** (606) 337-3051
- **Mailing address fax:** (606) 337-4309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | P05103 | KY | Yes |
| 3336L0003X | Long Term Care Pharmacy | P05103 | KY | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 07/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1809930 | NCPDP | — |
| 05 | — | 54026117 | — | KY |
| 05 | — | 5402611700 | — | KY |