Organization
S.E.W. ENTERPRISES, INC.
Active
Other names
Duncan Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYKEL TIDWELL (PRESIDENT)
(270) 247-3345
Entity
Organization
Contact information
Practice address
1520 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-3345
(270) 247-1344
Mailing address
1520 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-3345
(270) 247-1344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07701
KY
3336L0003X
Long Term Care Pharmacy
P07700
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
06/17/2006
Last updated
12/04/2023
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