Organization
MIKELS DRIVE IN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKEL BYRNE PHARMACIST (PRESIDENT)
(606) 248-1052
Entity
Organization
Contact information
Practice address
1928 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-1052
(606) 248-6598
Mailing address
1928 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-1052
(606) 248-6598
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PO1111
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45541554
—
KY
Enumeration date
12/27/2007
Last updated
12/27/2007
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