Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Parent organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Other names
Mountain Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Authorized official
ROXANN CORDIAL (CREDENTIALING)
(606) 886-8572
Entity
Organization
Contact information
Practice address
24 HARBOR LN, PRESTONSBURG, KY 41653-9176
(606) 886-8572
(606) 886-4431
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4431
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
07/16/2024
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