Organization
BIG SANDY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SALYER RPH (PHARMACIST)
(606) 789-5371
Entity
Organization
Contact information
Practice address
316 MAIN ST, PAINTSVILLE, KY 41240-1044
(606) 789-5371
(606) 789-3227
Mailing address
316 MAIN ST, PAINTSVILLE, KY 41240-1044
(606) 789-5371
(606) 789-3227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO2441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90160581
—
KY
Enumeration date
06/09/2008
Last updated
08/29/2008
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