Organization
CCC APOTHECARY, INC.
Active
Organization
CCC APOTHECARY, INC.
Active
Other names
The Medicine Shoppe #586
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ALLAN COYLE (PRESIDENT)
(859) 734-4314
Entity
Organization
Contact information
Practice address
636 S COLLEGE ST, HARRODSBURG, KY 40330-2142
(859) 734-4314
(859) 734-4370
Mailing address
636 S COLLEGE ST, HARRODSBURG, KY 40330-2142
(859) 734-4314
(859) 734-4370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
332BC3200X
Customized Equipment (DME)
—
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
KY
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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