Organization
RITE VALUE PHARMACY LLC
Active
Other names
RITE VALUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON WELLS PHARMD (PRESIDENT)
(606) 638-9627
Entity
Organization
Contact information
Practice address
2673 HIGHWAY 644 STE 1, LOUISA, KY 41230-5922
(606) 638-9627
(606) 638-4169
Mailing address
PO BOX 297, LOUISA, KY 41230-0297
(606) 638-9627
(606) 638-4169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07041
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034325
PK
—
05
—
3810002982
—
WV
05
—
54010442
—
KY
05
—
90011727
—
KY
Enumeration date
01/08/2007
Last updated
09/09/2016
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