Organization
C&C DRUGS
Active
Other names
holbrook drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MADISON COOPER RPH (OWNER PHARMICIST)
(606) 784-4784
Entity
Organization
Contact information
Practice address
208 E MAIN ST, MOREHEAD, KY 40351-1620
(606) 784-4784
(606) 784-5858
Mailing address
208 E MAIN ST, MOREHEAD, KY 40351-1620
(606) 784-4784
(606) 784-5858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P01569
KY
3336C0003X
Community/Retail Pharmacy
Primary
P01569
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5401843700
—
KY
Enumeration date
09/14/2006
Last updated
06/03/2008
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