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Organization

CCPB

Active
Parent organization
CCPB, LLC
Other names
Wayne County Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CCPB, LLC
Authorized official
PATRICIA KAYE HUFF (MANAGER)
(606) 688-3112
Entity
Organization

Contact information

Practice address
268 ROLLING HILLS BLVD, MONTICELLO, KY 42633
(606) 688-3112
Mailing address
268 ROLLING HILLS BLVD, MONTICELLO, KY 42633
(606) 688-3112

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
03/29/2022
Last updated
03/29/2022
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