Organization
HEPATITIS C TREATMENT CENTERS INC
Active
Parent organization
HEPATITIS C TREATMENT CENTERS INC
Other names
HCTC PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEPATITIS C TREATMENT CENTERS INC
Authorized official
MRS. LORI BOND (CEO OWNER)
(502) 727-8268
Entity
Organization
Contact information
Practice address
1009A N DUPONT SQ, STE 203, LOUISVILLE, KY 40207-4612
(502) 894-9951
(502) 894-9991
Mailing address
PO BOX 384, PROSPECT, KY 40059-0384
(502) 721-5220
(502) 894-9991
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06887
KY
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828144
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100122160
—
KY
01
—
P06887
LICENSE KY
KY
Enumeration date
06/19/2006
Last updated
06/16/2015
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