Organization
EASYCARE INC
Active
Other names
Pharmacy Corner
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KNAUFF (PRESIDENT)
(270) 365-3903
Entity
Organization
Contact information
Practice address
700 CASSIDY AVE, FREDONIA, KY 42411-9207
(270) 545-3413
(270) 365-2024
Mailing address
PO BOX 607, PRINCETON, KY 42445-0607
(270) 365-3903
(270) 365-2024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129507
PK
—
Enumeration date
10/15/2010
Last updated
07/12/2013
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