Organization
TPN GRAYSON LLC
Active
Organization
TPN GRAYSON LLC
Active
Other names
Grayson Family Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN WHITE (PARTNER)
(859) 277-2271
Entity
Organization
Contact information
Practice address
131 S CAROL MALONE BLVD, STE E, GRAYSON, KY 41143-1810
(606) 475-0232
(606) 475-0245
Mailing address
131 S CAROL MALONE BLVD, STE E, GRAYSON, KY 41143-1810
(606) 475-0232
(606) 475-0245
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07764
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123431
PK
—
Enumeration date
10/17/2006
Last updated
07/05/2016
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