Organization
COMMUNITY DRUG OF MANCHESTER INC
Active
Other names
COMMUNITY DRUG OF MANCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SIZEMORE RPH (PRES)
(606) 599-0505
Entity
Organization
Contact information
Practice address
1668 S HIGHWAY 421, MANCHESTER, KY 40962-7514
(606) 599-0505
(606) 599-0508
Mailing address
PO BOX 405, MANCHESTER, KY 40962-0405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06917
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828271
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54006101
—
KY
Enumeration date
10/03/2006
Last updated
06/16/2010
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