Organization
KIMS HOMETOWN PHARMACY INC
Active
Other names
KIMS HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JONES RPH (OWNER,PIC,AO)
(606) 549-7645
Entity
Organization
Contact information
Practice address
865 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1918
(606) 549-8700
(606) 544-9555
Mailing address
PO BOX 98, WILLIAMSBURG, KY 40769-0098
(606) 549-8700
(606) 549-4555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07255
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035133
PK
—
05
—
7100039220
—
KY
Enumeration date
05/20/2008
Last updated
08/12/2015
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