Organization
WHITESVILLE D S INC
Active
Organization
WHITESVILLE D S INC
Active
Other names
Daniels Pharmacy, WHITESVILLE DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GOETZ RPH (OWNER)
(606) 836-4313
Entity
Organization
Contact information
Practice address
2205 ARGILLITE RD, FLATWOODS, KY 41139-1692
(606) 836-4313
(606) 617-6464
Mailing address
PO BOX 701, FLATWOODS, KY 41139-0701
(606) 836-4313
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07057
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034333
PK
—
05
—
54010483
—
KY
05
—
90012048
—
KY
Enumeration date
01/16/2007
Last updated
07/05/2024
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