Organization
SUTTON DRUGS OF LA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY R RENFROW (PHARMACY MANAGER)
(270) 665-5192
Entity
Organization
Contact information
Practice address
234 BROADWAY, LA CENTER, KY 42056
(270) 665-5192
(270) 665-9296
Mailing address
PO BOX 179, LA CENTER, KY 42056-0179
(270) 665-5192
(270) 665-9296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P01069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54014162
—
KY
Enumeration date
02/10/2015
Last updated
02/10/2015
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