Organization
CENTRAL KENTUCKY APOTHECARY
Active
Other names
Dyer Drug, DYER DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
ARICA V. COLLINS PHARM D. (PRESIDENT/CEO/OWNER)
(606) 387-6444
Entity
Organization
Contact information
Practice address
100 E CUMBERLAND ST, ALBANY, KY 42602-1206
(606) 387-6444
(606) 387-9224
Mailing address
100 E CUMBERLAND ST, ALBANY, KY 42602-1206
(606) 387-6444
(606) 387-9224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P07288
KY
333600000X
Pharmacy
P07288
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100052570
—
KY
05
—
90020272
—
KY
01
—
FLU0343
NGS-MEDICARE MASS IMMUNIZER
KY
Enumeration date
07/18/2005
Last updated
12/14/2021
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