Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Organization
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Active
Other names
Leatherwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA P MILLER (PROVIDER INSURANCE CREDENTIALING)
(606) 633-4823
Entity
Organization
Contact information
Practice address
464 KY HIGHWAY 699, CORNETTSVILLE, KY 41731-8749
(606) 476-8618
(606) 328-5347
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
05/09/2024
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