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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