Organization
HEARTLAND FAMILY PHARMACY LLC
Active
Organization
HEARTLAND FAMILY PHARMACY LLC
Active
Other names
Heartland Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT YATES (OWNER/PHARMACIST)
(270) 725-7504
Entity
Organization
Contact information
Practice address
134 SUGAR MAPLE DR, SUITE A, AUBURN, KY 42206
(270) 847-4004
(270) 847-4005
Mailing address
PO BOX 467, AUBURN, KY 42206-0467
(270) 847-4004
(270) 847-4005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100311830
—
KY
Enumeration date
09/17/2014
Last updated
06/28/2018
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