Organization
PRATER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FRAZIER (OWNER)
(606) 349-3135
Entity
Organization
Contact information
Practice address
49 SOUTH CHURCH STREET, SALYERSVILLE, KY 41465-0068
(606) 349-3135
(606) 349-3512
Mailing address
PO BOX 68, SALYERSVILLE, KY 41465-0068
(606) 349-3135
(606) 349-3512
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
P00834
KY
333600000X
Pharmacy
Primary
P00834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45543493
EPS-DT
KY
05
—
54005780
—
KY
Enumeration date
04/18/2006
Last updated
02/04/2019
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