Organization
MOUNTAIN CLINIC PHARMACY LLC
Active
Other names
MOUNTAIN CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKS WEBB RPH (PARTNER)
(606) 438-2445
Entity
Organization
Contact information
Practice address
233 E MAIN ST, SUITE B, HAZARD, KY 41701-1954
(606) 436-0045
(606) 436-0048
Mailing address
233 E MAIN ST, SUITE B, HAZARD, KY 41701-1954
(606) 436-0045
(606) 436-0048
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07143
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829742
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54012190
—
KY
Enumeration date
10/13/2006
Last updated
09/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us