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Organization

LK MANSFIELD LLC

Active
Other names
Weathers Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANCE MANSFIELD (OWNER)
(270) 265-2155
Entity
Organization

Contact information

Practice address
44 PUBLIC SQUARE, ELKTON, KY 42220
(270) 265-2155
(270) 265-2460
Mailing address
PO BOX 460, ELKTON, KY 42220-0460
(270) 265-2155
(270) 265-2460

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
P08011
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100549770
KY
05
7100611690
KY
Enumeration date
01/31/2007
Last updated
05/11/2021
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