Organization
CORBIN PHARMACY INC
Active
Other names
CORBIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ELLIOT RPH (OWNER)
(606) 523-5585
Entity
Organization
Contact information
Practice address
14 MOONBOW PLZ, STE 1, CORBIN, KY 40701-8910
(606) 523-5585
(606) 523-4418
Mailing address
14 MOONBOW PLZ, STE 1, CORBIN, KY 40701-8910
(606) 523-5585
(606) 523-4418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827053
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54002605
—
KY
Enumeration date
12/26/2006
Last updated
01/31/2017
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