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Organization

BETSY LAYNE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JODY HOLLAND RPH (OWNER PRESIDENT)
(606) 478-9474
Entity
Organization

Contact information

Practice address
11155 US HWY 23 S, BETSY LAYNE, KY 41605-4160
(606) 478-9474
(606) 478-1000
Mailing address
PO BOX 2159, PIKEVILLE, KY 41502-2159
(606) 478-9474
(606) 478-1000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
P07641
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54017017
KY
Enumeration date
02/26/2007
Last updated
03/22/2021
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