Organization
DOWNTOWN DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN SAMONS PHARMACIST (OWNER)
(606) 285-0786
Entity
Organization
Contact information
Practice address
90 TRIANGLE STREET, MARTIN, KY 41649-1369
(606) 285-0786
(606) 285-0646
Mailing address
90 TRIANGLE STREET, MARTIN, KY 41649-1369
(606) 285-0786
(606) 285-0646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO6243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1824336
NCPDP
KY
05
—
54031612
—
KY
01
—
6243
KY PHARMACY PERMIT
KY
Enumeration date
01/08/2007
Last updated
08/22/2020
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