Organization
HOMETOWN PHARMACY OF CYNTHIANA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN INGRAM PHARM.D (OWNER)
(859) 234-5600
Entity
Organization
Contact information
Practice address
1134 US HWY 27 SOUTH, CYNTHIANA, KY 41031-7570
(859) 234-5600
(859) 234-5606
Mailing address
1134 US HWY 27 SOUTH, CYNTHIANA, KY 41031-7570
(859) 234-5600
(859) 234-5606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PENDING
KY
333600000X
Pharmacy
Primary
PENDING
KY
Other
Enumeration date
10/27/2010
Last updated
02/02/2015
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