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Organization

SOUTHEASTERN FAMILY DRUG CENTER, INC

Active
Other names
Family Drug Center 3
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT P SPARKMAN R.PH. (SECRETARY)
(606) 598-6736
Entity
Organization

Contact information

Practice address
214 BRIDGE ST, MANCHESTER, KY 40962-1204
(606) 598-6736
(606) 599-0636
Mailing address
214 BRIDGE ST, MANCHESTER, KY 40962-1204
(606) 598-6736
(606) 599-0636

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P01555
KY
333600000X
Pharmacy
Primary
P01555
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5401807200
KY
05
90070269
KY
Enumeration date
12/12/2006
Last updated
03/04/2015
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