Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Other names
Mountain Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANN CORDIAL (CREDENTIALING MANAGER)
(606) 886-8572
Entity
Organization
Contact information
Practice address
1330 SOUTH MAYO TRAIL, NOVA COMPLEX, SUITE 102, PIKEVILLE, KY 41501
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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