Organization
RX DISCOUNT OF BEREA PLLC
Active
Other names
Rx Discount of Berea, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE HUBBARD (PHARMACIST)
(606) 862-8261
Entity
Organization
Contact information
Practice address
102 PRINCE ROYAL DR STE 2, BEREA, KY 40403-1468
(859) 985-7283
(859) 985-0413
Mailing address
102 PRINCE ROYAL DR, SUITE 2, BEREA, KY 40403-1468
(859) 985-7283
(859) 985-0413
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07354
KY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121292
PK
—
05
—
7100083880
—
KY
Enumeration date
07/27/2009
Last updated
07/02/2014
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