Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
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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