Organization
MED-COE INC
Active
Other names
PURE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
KEM COE RPH (PRESIDENT)
(270) 487-5468
Entity
Organization
Contact information
Practice address
805 N MAIN ST, TOMPKINSVILLE, KY 42167-1002
(270) 487-5468
(270) 487-0158
Mailing address
PO BOX 368, TOMPKINSVILLE, KY 42167-0368
(270) 487-5468
(270) 487-0518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO7187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808609
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2007
Last updated
01/07/2010
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