Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
Tollesboro Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD EVANS PHARMD (DIRECTOR OF PHARMACY)
(606) 956-0188
Entity
Organization
Contact information
Practice address
17521 W KY HWY 9, TOLLESBORO, KY 41189
(606) 798-2072
(606) 798-4276
Mailing address
PO BOX 220, TOLLESBORO, KY 41189-0220
(606) 798-2072
(606) 798-4276
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034000
PK
—
05
—
54003603
—
KY
Enumeration date
08/10/2006
Last updated
04/04/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up