Organization
P C P SPECIALTY LLC
Active
Other names
P C P Specialty LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SLOAN (OWNER/DIRECTOR)
(859) 907-4344
Entity
Organization
Contact information
Practice address
104 LAWSON DR, SUITE 101, GEORGETOWN, KY 40324-8998
(502) 570-8660
(502) 570-8622
Mailing address
104 LAWSON DR, SUITE 101, GEORGETOWN, KY 40324-8998
(502) 570-8660
(859) 570-8622
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
P07322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831204
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/10/2009
Last updated
11/03/2009
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