Organization
DONELL'S TRI-CITY PHARMACY
Active
Parent organization
DONELLS PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONELLS PHARMACY INC
Authorized official
MRS. DONELL T BUSROE RPH (PHARMACIST/OWNER)
(606) 505-5133
Entity
Organization
Contact information
Practice address
18880 N US HIGHWAY 119, CUMBERLAND, KY 40823-8106
(606) 505-5133
(606) 573-4402
Mailing address
40 W HIGHWAY 72, BAXTER, KY 40806-8384
(606) 573-4550
(606) 573-4402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-07864
KY BOARD OF PHARMACY PERMIT
KY
Enumeration date
11/08/2017
Last updated
11/13/2017
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