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Organization

LEWIS COUNTY PRIMARY CARE CENTER, INC.

Active
Other names
Ashland Family Health Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD ERWIN EVANS PHARMD (DIRECTOR OF PHARMACY AND ANCILLARY)
(606) 956-0188
Entity
Organization

Contact information

Practice address
432 16TH ST, ASHLAND, KY 41101-7693
(606) 956-0188
(606) 796-6010
Mailing address
211 KY 59, PO BOX 550, VANCEBURG, KY 41179
(606) 956-0188
(606) 796-6010

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P08020
KY BOARD OF PHARMACY
KY
Enumeration date
01/15/2019
Last updated
01/15/2019
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