Organization
HEALTHY WAY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRETT DICKERSON (OWNER PHARMACIST)
(606) 738-9790
Entity
Organization
Contact information
Practice address
432 S KY 7, SANDY HOOK, KY 41171-8132
(606) 738-4041
(606) 738-4030
Mailing address
PO BOX 492, SANDY HOOK, KY 41171-0492
(606) 738-4041
(606) 738-4030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO6412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54033865
—
KY
05
—
90030321
—
KY
Enumeration date
02/15/2007
Last updated
09/01/2014
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