Organization
HOMETOWN PHARMACY OF HAZARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TYLER WELLS PHARMD (PHARMACIST)
(606) 275-1239
Entity
Organization
Contact information
Practice address
221 E MAIN ST, HAZARD, KY 41701-1920
(606) 551-1110
(606) 551-1131
Mailing address
PO BOX 289, HYDEN, KY 41749-0289
(606) 551-1110
(606) 551-1131
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
10/01/2020
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