Organization
THE MAYSVILLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LOUIS GALLENSTEIN JR. (MGR)
(606) 563-9355
Entity
Organization
Contact information
Practice address
1220 FOREST AVE, MAYSVILLE, KY 41056
(606) 563-9355
(606) 563-9305
Mailing address
1220 FOREST AVE, MAYSVILLE, KY 41056
(606) 563-9355
(606) 563-9305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P06460
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1825718
NCPDP #
—
05
—
5403467300
—
KY
Enumeration date
12/21/2006
Last updated
08/22/2020
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