Organization
MCKEE FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BOWLING (OWNER)
(606) 813-0603
Entity
Organization
Contact information
Practice address
565 MAIN STREET N, MCKEE, KY 40447
(606) 813-0603
(888) 900-1605
Mailing address
565 MAIN STREET N, MCKEE, KY 40447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100641490
—
KY
Enumeration date
12/26/2019
Last updated
12/27/2019
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