Organization
TPC MARTIN INC
Active
Other names
Total Pharmacy Care #4
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY ROWE (PHARMACIST)
(606) 433-0555
Entity
Organization
Contact information
Practice address
1102 KENTUCKY RT 122, MARTIN, KY 41649
(606) 949-1555
(606) 949-1558
Mailing address
263 KY ROUTE 122, MARTIN, KY 41649-9006
(606) 794-9675
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P07795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170637
PK
—
05
—
7100427500
—
KY
Enumeration date
10/17/2017
Last updated
07/21/2022
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