Organization
CENTRAL KENTUCKY APOTHECARY
Active
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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