Organization
NORTH CENTURY PHARMACY, INC.
Active
Other names
North Century Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EASTON BRYANT (PIC/OWNER)
(270) 380-1230
Entity
Organization
Contact information
Practice address
3058 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-9511
(270) 380-1230
(270) 380-1232
Mailing address
3058 CAMPBELLSVILLE ROAD, COLUMBIA, KY 42728
(270) 380-1230
(270) 380-1232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146904
PK
—
05
—
7100308280
—
KY
Enumeration date
07/21/2014
Last updated
01/25/2022
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