Organization
MEDICINE MARKET
Active
Other names
Medicine Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HALL PHARMD. (PHARMACIST/OWNER)
(606) 285-3400
Entity
Organization
Contact information
Practice address
10870 MAIN STREET, MARTIN, KY 41649
(606) 285-3400
(606) 285-9281
Mailing address
PO BOX 187, MARTIN, KY 41649-0187
(606) 285-3400
(606) 285-9281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831901
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100123690
—
KY
Enumeration date
06/17/2010
Last updated
09/28/2011
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