Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Organization
MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Active
Other names
Mountain Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANN CORDIAL (CREDENTIALING COORDINATOR)
(606) 886-8572
Entity
Organization
Contact information
Practice address
123 N MAIN ST, WINCHESTER, KY 40391-2607
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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