Organization
EAST MAIN STREET PHARMACY
Active
Other names
East Main Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DACHEA WOOTON RPH (OWNER,PIC,AO)
(606) 487-0107
Entity
Organization
Contact information
Practice address
279 E MAIN ST, HAZARD, KY 41701-1920
(606) 487-0107
(606) 487-0104
Mailing address
PO BOX 2069, HAZARD, KY 41702-2069
(606) 487-0107
(606) 487-0104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07502
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134045
PK
—
05
—
7100206580
—
KY
Enumeration date
03/15/2012
Last updated
09/17/2015
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