Organization
WALTERS - GRIFFIN ENTERPRISE
Active
Other names
Superior Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM REED HALL RPH (RPH,PIC)
(606) 633-0197
Entity
Organization
Contact information
Practice address
251 MEDICAL PLAZA LN, SUITE C, WHITESBURG, KY 41858-9323
(606) 633-0197
(606) 633-0172
Mailing address
251 MEDICAL PLAZA, SUITE C, WHITESBURG, KY 41858
(606) 633-0197
(606) 633-0172
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812228
NABP NUMBER
KY
05
—
54015664
—
KY
Enumeration date
02/07/2007
Last updated
08/22/2020
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