Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
Flemingsburg Family Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD EVANS PHARMD (DIRECTOR OF PHARMACY)
(606) 956-0188
Entity
Organization
Contact information
Practice address
520 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-1141
(606) 845-0402
(606) 845-0422
Mailing address
520 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-1141
(606) 845-0402
(606) 845-0422
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07461
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133983
PK
—
05
—
7100196210
—
KY
Enumeration date
02/16/2012
Last updated
03/31/2017
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