Organization
PARKWAY PHARMACY, INC.
Active
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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