Organization
PUBLIC DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARRICO PHARMD (OWNER)
(606) 593-0382
Entity
Organization
Contact information
Practice address
478 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 593-0382
(606) 593-0384
Mailing address
478 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 593-0382
(606) 593-0384
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100208530
—
KY
Enumeration date
07/06/2023
Last updated
07/06/2023
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