Organization
KING PHARMACY INC
Active
Other names
KING PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE KING PHARM D (PIC PRESIDENT)
(606) 435-1067
Entity
Organization
Contact information
Practice address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
(606) 435-1073
Mailing address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
(606) 435-1073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034340
PK
—
05
—
54010939
—
KY
Enumeration date
06/13/2006
Last updated
07/05/2016
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