Organization
KING PHARMACY INC
Active
Other names
King Pharmacy, Hyden
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE KING (OWNER)
(606) 435-1067
Entity
Organization
Contact information
Practice address
22320 MAIN ST, HYDEN, KY 41749-8571
(606) 672-2210
(606) 672-2297
Mailing address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
(606) 435-1073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07424
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1832131
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/23/2010
Last updated
10/17/2018
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