Organization
DUNAWAY DRUG STORES, INC.
Active
Other names
Dunaway's Imperial Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DUNAWAY R.PH. (PRESIDENT PHARMACIST)
(270) 826-6565
Entity
Organization
Contact information
Practice address
110 3RD ST, HENDERSON, KY 42420-2993
(270) 826-6565
(270) 830-0083
Mailing address
110 3RD ST, HENDERSON, KY 42420-2993
(270) 826-6565
(270) 830-0083
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069757
BCBS
—
05
—
4500168200
—
KY
05
—
5401241400
—
KY
05
—
9010051200
—
KY
Enumeration date
11/22/2005
Last updated
03/31/2008
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