Organization
LITTLE & WADDELL INC
Active
Other names
MEDZONE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D REFFETT R.PH. (PRESIDENT OWNER PHARMACIST)
(606) 889-9003
Entity
Organization
Contact information
Practice address
5291 KENTUCKY ROUTE 321, PRESTONSBURG, KY 41653-9168
(606) 886-9954
(606) 889-9404
Mailing address
PO BOX 1349, PRESTONSBURG, KY 41653-5349
(606) 889-9003
(606) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PO7635
KY
3336C0003X
Community/Retail Pharmacy
Primary
PO7635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1825352
NCPDP/NABP
—
01
—
207861
KY SALES AND USE
KY
05
—
54034004
—
KY
01
—
90360025
MEDICAID DME
KY
Enumeration date
06/13/2006
Last updated
03/07/2023
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