Organization
KING PHARMACY HAZARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEISHA CALDWELL FELTNER OWNER/MANAGER (OWNER/MANAGER)
(606) 275-0835
Entity
Organization
Contact information
Practice address
900 MORTON BLVD, HAZARD, KY 41701-9476
(606) 435-1067
Mailing address
PO BOX 289, HYDEN, KY 41749-0289
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100739210
—
KY
Enumeration date
04/14/2021
Last updated
06/15/2021
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