Organization
ST. CLAIRE MEDICAL CENTER INC. - MEDICAL PAVILION PHARMACY
Active
Other names
Medical Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H LLOYD II (CEO/PRESIDENT)
(606) 783-6502
Entity
Organization
Contact information
Practice address
245 FLEMINGSBURG RD, MOREHEAD, KY 40351-1015
(606) 783-6740
(606) 783-6693
Mailing address
222 MEDICAL CIR OFC 534B, MOREHEAD, KY 40351-1179
(606) 783-6740
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07847
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169674
PK
—
Enumeration date
06/06/2017
Last updated
08/17/2023
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