Organization
MOUNTAIN APOTHECARY
Active
Organization
MOUNTAIN APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WESTMORELAND BS (PRESIDENT)
(606) 789-6150
Entity
Organization
Contact information
Practice address
834 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-6150
(606) 789-6156
Mailing address
834 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-6150
(606) 789-6156
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02544
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031854
PK
—
05
—
54029152
—
KY
Enumeration date
08/10/2006
Last updated
02/15/2017
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