Organization
CIA DRUG LLC
Active
Other names
Holbrook Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JANE INGRAM (PHARMACIST/OWNER)
(606) 784-4784
Entity
Organization
Contact information
Practice address
208 E MAIN ST, MOREHEAD, KY 40351-1620
(606) 784-4784
(606) 784-5858
Mailing address
208 E MAIN ST, MOREHEAD, KY 40351-1620
(606) 784-4784
(606) 784-5858
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140051
PK
—
05
—
7100245100
—
KY
Enumeration date
04/19/2013
Last updated
06/01/2016
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