Organization
VERSAILLES INDEPENDENT PHARMACY, INC.
Active
Other names
Versailles Independent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARY WHITE (OWNER/PIC)
(859) 967-3794
Entity
Organization
Contact information
Practice address
166 FRANKFORT ST, VERSAILLES, KY 40383-1164
(859) 879-0199
Mailing address
296 PAYNES DEPOT RD, LEXINGTON, KY 40511-9149
(859) 967-3794
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143326
PK
—
Enumeration date
12/10/2013
Last updated
12/10/2013
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