Organization
FORT THOMAS DRUG CENTER II LLC
Active
Organization
FORT THOMAS DRUG CENTER II LLC
Active
Other names
Fort Thomas Drug Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG SEITHER (PHARMACIST)
(859) 581-9355
Entity
Organization
Contact information
Practice address
26 N FORT THOMAS AVE, FORT THOMAS, KY 41075-1565
(859) 441-1140
(859) 572-8293
Mailing address
26 N FORT THOMAS AVE, FORT THOMAS, KY 41075-1565
(859) 441-1140
(859) 572-8293
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07205
KY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030533
PK
—
05
—
7100020710
—
KY
Enumeration date
03/06/2007
Last updated
09/19/2016
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