Organization
LAWRENCE RETAIL CO., INC.
Active
Other names
Louisa Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LABAN EUGENE YOUNG R.PH. (PARTNER)
(606) 638-4155
Entity
Organization
Contact information
Practice address
408 N LOCK AVE, LOUISA, KY 41230-1115
(606) 638-4155
(606) 638-1109
Mailing address
408 N LOCK AVE, LOUISA, KY 41230-1115
(606) 638-4155
(606) 638-1109
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P00260
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54012240
—
KY
05
—
90020645
—
KY
Enumeration date
08/14/2006
Last updated
03/31/2008
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