Organization
KENTUCKY HC LLC
Active
Other names
KIMPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL THORNBURY RPH (MEMBER)
(606) 432-2274
Entity
Organization
Contact information
Practice address
51 UPPER JOHNS CREEK RD, KIMPER, KY 41539
(606) 631-3327
(606) 631-3320
Mailing address
PO BOX 763, GRUNDY, VA 24614-0763
(276) 935-4777
(276) 935-2269
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07103
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829413
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54011564
—
KY
Enumeration date
07/25/2006
Last updated
02/21/2013
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