Organization
DISCOUNT DRUG MART, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LEE BREWER RPH (PRESIDENT)
(606) 738-5111
Entity
Organization
Contact information
Practice address
108 MAIN STREET, SANDY HOOK, KY 41171-0187
(606) 738-5111
(606) 738-4018
Mailing address
108 MAIN STREET, P.O. BOX 187, SANDY HOOK, KY 41171-0187
(606) 738-5111
(606) 738-4018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO2011
KY
3336C0003X
Community/Retail Pharmacy
Primary
PO2011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54021977
—
KY
Enumeration date
11/08/2006
Last updated
08/19/2014
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