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Organization

VILLAGEMD CLINICALS PHARMACY KENTUCKY

Active
Other names
ConnectCareRx
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KOON (DIRECTOR OF PHARMACY)
(346) 980-2142
Entity
Organization

Contact information

Practice address
1000 S 12TH ST STE A, MURRAY, KY 42071
(270) 767-6960
Mailing address
1000 S 12TH ST STE A, MURRAY, KY 42071-9303

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P08013
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100555250
KY
Enumeration date
08/22/2018
Last updated
05/14/2020
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