Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
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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