Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Active
Other names
MAYSVILLE OB GYN FAMILY HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD EVANS PHARMD (DIRECTOR OF PHARMACY)
(606) 956-0188
Entity
Organization
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-1189
(606) 759-0586
Mailing address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-1189
(606) 759-0586
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07233
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035010
PK
—
05
—
3027254
—
OH
05
—
7100029490
—
KY
Enumeration date
02/08/2008
Last updated
04/04/2017
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