Organization
WILLIAMSBURG PHARMACY
Active
Other names
MAIDEN DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JONATHAN POWERS (PRESIDENT/PHARMACIST)
(606) 549-0449
Entity
Organization
Contact information
Practice address
327 MAIN ST, WILLIAMSBURG, KY 40769-1123
(606) 549-0449
(606) 549-3233
Mailing address
327 MAIN ST, WILLIAMSBURG, KY 40769-1123
(606) 549-0449
(606) 549-3233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P02254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54025325
—
KY
Enumeration date
04/24/2008
Last updated
04/24/2008
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