Organization
BIG SANDY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SALYER R PH (PHARMACIST)
(606) 789-5371
Entity
Organization
Contact information
Practice address
316 MAIN ST, PAINTSVILLE, KY 41240-1044
(606) 789-5371
(606) 789-3227
Mailing address
316 MAIN ST, PAINTSVILLE, KY 41240-1044
(606) 789-5371
(606) 789-3227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO2441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4554492100
EPSDT
KY
Enumeration date
03/27/2008
Last updated
03/27/2008
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