Organization
FELCO INCORPORATED
Active
Other names
HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON E LAFFERTY M.D. (OWNER)
(606) 298-7283
Entity
Organization
Contact information
Practice address
2160 BLACKLOG RD, SUITE 100, INEZ, KY 41224
(606) 298-7283
(606) 298-4538
Mailing address
PO BOX 1305, INEZ, KY 41224-1305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031753
PK
—
05
—
54027586
—
KY
Enumeration date
01/08/2007
Last updated
06/15/2021
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