Organization
TODDS LTC PHARMACY PLLC
Active
Other names
Todds LTC Pharmacy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBEY WALTERS (OWNER)
(606) 248-0171
Entity
Organization
Contact information
Practice address
120 LOTHBURY AVE, STE 2, MIDDLESBORO, KY 40965
(606) 248-0171
(606) 248-5455
Mailing address
PO BOX 954, MIDDLESBORO, KY 40965-0954
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
P07262
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1830834
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100058380
—
KY
Enumeration date
09/08/2008
Last updated
05/08/2009
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