Organization
MORGAN DRUG STORE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNY BRUCE OVERTON RPH (PRESIDENT)
(606) 337-3041
Entity
Organization
Contact information
Practice address
123 S WALNUT ST, PINEVILLE, KY 40977-1619
(606) 337-3041
(606) 337-0820
Mailing address
POBOX 69, 123 SOUTH WALNUT ST., PINEVILLE, KY 40977-0069
(606) 337-3041
(606) 337-0820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PO7032
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808027
3RD PARTY NABP NUMBER
KY
05
—
5400024500
—
KY
Enumeration date
10/24/2006
Last updated
08/22/2020
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