Organization
YOUR PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA E SORRELL (OWNER)
(859) 234-5400
Entity
Organization
Contact information
Practice address
208 W PLEASANT ST, SUITE 2, CYNTHIANA, KY 41031-2421
(859) 234-5400
(859) 234-5399
Mailing address
208 W PLEASANT ST, SUITE 2, CYNTHIANA, KY 41031-2421
(859) 234-5400
(859) 234-5399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
90005174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90005174
—
KY
Enumeration date
02/25/2008
Last updated
02/25/2008
About Stedi
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