Organization
MANCHESTER PHARMACY LLC
Active
Other names
Manchester Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL INGRAM (OWNER)
(859) 588-2932
Entity
Organization
Contact information
Practice address
359 OLD US HIGHWAY 421, MANCHESTER, KY 40962-7538
(859) 234-5600
(859) 234-5606
Mailing address
359 OLD US HIGHWAY 421, MANCHESTER, KY 40962-7538
(859) 234-5600
(859) 234-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143072
PK
—
Enumeration date
11/18/2013
Last updated
11/22/2013
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