Organization
JDL CONSULTING LLC
Active
Other names
Clay Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CLIFTON LEE (OWNER)
(606) 316-4011
Entity
Organization
Contact information
Practice address
118 CLAY COUNTY SHOPPING CTR, MANCHESTER, KY 40962-1299
(606) 599-0209
(606) 599-0279
Mailing address
118 CLAY COUNTY SHOPPING CTR, MANCHESTER, KY 40962-1299
(606) 599-0209
(606) 599-0279
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100628880
—
KY
Enumeration date
02/18/2019
Last updated
08/31/2022
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