Organization
MT VERNON DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL KEITH KILBOURNE (PRESIDENT)
(606) 256-3447
Entity
Organization
Contact information
Practice address
410 RICHMOND ST, MT VERNON, KY 40456
(606) 256-3447
(606) 256-8380
Mailing address
410 RICHMOND ST, MT VERNON DRUG INC PO BOX 796, MT VERNON, KY 40456
(606) 256-3447
(606) 256-8380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO6536
KY
333600000X
Pharmacy
Primary
P06536
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54000286
—
KY
Enumeration date
06/09/2006
Last updated
02/29/2008
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