Organization
MARROWBONE HOMETOWN PHARMACY INC
Active
Other names
MARROWBONE HOMETOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HUFFMAN (PRESIDENT)
(606) 754-4633
Entity
Organization
Contact information
Practice address
9613 MILLARD HWY, SUITE 2, PIKEVILLE, KY 41501-8162
(606) 754-4633
Mailing address
PO BOX 250, REGINA, KY 41559-0250
(606) 794-4612
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831797
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/01/2010
Last updated
08/11/2011
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