Organization
CERTACARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNDRA MATTHEWS (INTAKE COORDINATOR)
(606) 387-0023
Entity
Organization
Contact information
Practice address
150 WESTVIEW SHOPPING CTR, ALBANY, KY 42602-1600
(606) 387-0023
(606) 387-0024
Mailing address
150 WESTVIEW SHOPPING CTR, ALBANY, KY 42602-1600
(606) 387-0023
(606) 387-0024
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07181
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467676684
NPI
KY
Enumeration date
04/11/2007
Last updated
02/05/2008
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