Organization
WEST KNOX PHARMACY, LLC
Active
Other names
West Knox Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN BAKER PHARMD (OWNER/PHARMACIST IN CHARGE)
(606) 258-1111
Entity
Organization
Contact information
Practice address
14161 N US HIGHWAY 25 E, CORBIN, KY 40701-6183
(606) 258-1111
Mailing address
485 NORVELL RD, CORBIN, KY 40701-6205
(606) 304-1077
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155594
PK
—
Enumeration date
12/01/2015
Last updated
02/26/2021
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