Organization
KIMPER PHARMACY INC
Active
Other names
Kimper Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER (OWNER)
(606) 754-0221
Entity
Organization
Contact information
Practice address
9711 STATE HIGHWAY 194 E, KIMPER, KY 41539-6232
(606) 631-3327
(606) 631-3320
Mailing address
PO BOX 532, ELKHORN CITY, KY 41522-0532
(606) 424-8203
(606) 754-0225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159484
PK
—
05
—
7100408890
—
KY
Enumeration date
04/12/2016
Last updated
08/02/2016
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