Organization
NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC
Active
Other names
UK North Fork Valley Community Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE EAGLE KINGERY D.O. (CEO)
(606) 439-1559
Entity
Organization
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701
(606) 439-1559
(606) 436-6988
Mailing address
750 MORTON BLVD., HAZARD, KY 41701
(606) 439-3557
(606) 436-6988
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07214
KY
3336C0002X
Clinic Pharmacy
P07214
KY
3336C0003X
Community/Retail Pharmacy
P07214
KY
Other
Enumeration date
09/25/2007
Last updated
01/13/2016
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