Organization
MOUNTAIN COMMUNITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE COMBS PHARMD (OWNER)
(606) 233-8492
Entity
Organization
Contact information
Practice address
1908 N MAIN ST STE 108, HAZARD, KY 41701-2505
(606) 487-0023
(606) 436-9688
Mailing address
PO BOX 6, HAZARD, KY 41702-0006
(606) 487-0023
(606) 436-9688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100380340
—
KY
Enumeration date
11/11/2015
Last updated
01/26/2022
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