Organization
CORUM FAMILY PHARMACY LLC
Active
Other names
Corum Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WINDHAM (OWNER/PHARMACIST)
(606) 599-0505
Entity
Organization
Contact information
Practice address
1668 S HIGHWAY 421, MANCHESTER, KY 40962-7514
(606) 599-0505
(606) 599-0508
Mailing address
1668 S HIGHWAY 421, MANCHESTER, KY 40962-7514
(606) 599-0505
(606) 599-0508
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO7555
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139027
PK
—
05
—
7100235820
—
KY
Enumeration date
02/20/2013
Last updated
06/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us