Organization
SUTTON PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GRAHAM RPH (OWNER)
(859) 792-4611
Entity
Organization
Contact information
Practice address
330 W MAPLE AVE, LANCASTER, KY 40444-1058
(859) 792-4611
(859) 792-3511
Mailing address
330 W MAPLE AVE, LANCASTER, KY 40444-1058
(859) 792-4611
(859) 792-3511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO7829
KY
3336C0003X
Community/Retail Pharmacy
PO7829
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54013875
—
KY
01
—
90020405
KY MEDICAID DME
KY
Enumeration date
08/14/2006
Last updated
06/27/2017
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