Organization
MORTON PHARMACIES, INC.
Active
Other names
Morton's Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MICHAEL MORTON (MANAGER)
(606) 258-0445
Entity
Organization
Contact information
Practice address
10 DEMPSEY LN, CORBIN, KY 40701-2765
(606) 528-2121
(606) 258-0447
Mailing address
10 DEMPSEY LN, CORBIN, KY 40701-2765
(606) 528-2121
(606) 258-0447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P07008
KY
333600000X
Pharmacy
P07008
KY
3336C0003X
Community/Retail Pharmacy
Primary
P07008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54009394
—
KY
05
—
90011537
—
KY
Enumeration date
08/29/2006
Last updated
07/25/2012
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