Organization
LEWIS COUNTY PRIMARY CARE CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE EVANS PHARMD (PHARMACIST)
(606) 796-2686
Entity
Organization
Contact information
Practice address
211 KY 59, VANCEBURG, KY 41179-0550
(606) 796-2686
(606) 796-6010
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-2686
(606) 796-6010
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
P07030
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54010350
—
KY
Enumeration date
09/01/2006
Last updated
04/21/2011
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