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Organization

PARKWAY PHARMACY, INC.

Active
Other names
Parkway Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE RUDD (OWNER/PRESIDENT)
(606) 226-4444
Entity
Organization

Contact information

Practice address
100 BRENNA BLVD, SUITE 200, SALYERSVILLE, KY 41465-9815
(606) 349-4400
(606) 349-4410
Mailing address
PO BOX 8, SALYERSVILLE, KY 41465-0008
(606) 349-4400
(606) 349-4410

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P07488
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2133434
PK
05
7100193170
KY
Enumeration date
01/13/2012
Last updated
06/27/2016
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