Organization
WAYNE KWIKSCRIPT, INC.
Active
Other names
Kwik Script Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETINA GREGORY (OWNER)
(606) 348-4455
Entity
Organization
Contact information
Practice address
1251 COLUMBIA AVENUE, MONTICELLO, KY 42633-1677
(606) 348-4455
(606) 348-4717
Mailing address
1251 COLUMBIA AVENUE, MONTICELLO, KY 42633-1677
(606) 348-4455
(606) 348-4717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
9001116400
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07238
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100133570
—
KY
Enumeration date
07/11/2006
Last updated
01/18/2011
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