Organization
CENTRAL KENTUCKY FAMILY PHARMACY LLC
Active
Other names
CENTRAL KENTUCKY FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RAFFERTY (OWNER)
(859) 245-5244
Entity
Organization
Contact information
Practice address
201 BOSTON SQ, GEORGETOWN, KY 40324-9784
(502) 370-4228
(502) 370-4230
Mailing address
201 BOSTON SQ, GEORGETOWN, KY 40324-9784
(502) 370-4228
(502) 370-4230
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1832852
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/16/2011
Last updated
08/07/2012
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