Organization
MARROWBONE FAMILY PHARMACY
Active
Other names
Russell Fork Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BARRY JOHNSON (MEMBER)
(606) 754-7085
Entity
Organization
Contact information
Practice address
10363 REGINA BELCHER HWY, ELKHORN CITY, KY 41522
(606) 794-7085
(606) 754-3049
Mailing address
PO BOX 1036, PIKEVILLE, KY 41502-1036
(606) 794-3950
(606) 754-3049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
KY
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100232340
—
KY
Enumeration date
06/06/2012
Last updated
06/27/2022
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