Organization
CENTRAL DRUG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHEL R COX (PRESIDENT)
(270) 465-4137
Entity
Organization
Contact information
Practice address
102 CENTRAL SHOPPING CTR, CAMPBELLSVILLE, KY 42718-1857
(270) 465-4137
(270) 465-9761
Mailing address
102 CENTRAL SHOPPING CTR, CAMPBELLSVILLE, KY 42718-1857
(270) 465-4137
(270) 465-9761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
007598
KY
333600000X
Pharmacy
Primary
P01333
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812696
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
54016290
—
KY
Enumeration date
08/10/2006
Last updated
04/15/2008
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