Organization
M.T.O. PHARMACY, INC
Active
Other names
Total Rx Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNY BRUCE OVERTON RPH (SECRETARY)
(606) 337-2336
Entity
Organization
Contact information
Practice address
121 W VIRGINIA AVE STE E100, PINEVILLE, KY 40977-1600
(606) 337-2336
(606) 337-1419
Mailing address
PO BOX 507, 121 VIRGINIA AVE., SUITE E100, PINEVILLE, KY 40977-0507
(606) 337-2336
(606) 337-1419
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PO2055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54022447
—
KY
05
—
90200072
—
KY
Enumeration date
01/18/2007
Last updated
08/22/2020
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