Organization
MONTGOMERY DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. WOODEN RPH (PRES)
(270) 259-3125
Entity
Organization
Contact information
Practice address
201 S MAIN ST, LEITCHFIELD, KY 42754-1425
(270) 259-3125
(270) 259-0407
Mailing address
210 S MAIN ST, LEITCHFIELD, KY 42754-9998
(270) 259-3125
(270) 259-0407
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54002217
—
KY
Enumeration date
09/13/2006
Last updated
07/04/2011
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