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Organization

BERRY PHARMACIST GROUP LLC

Active
Other names
Mason Family Drug
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT MICHAEL BERRY PHARM-D (PIC/OWNER)
(606) 584-0401
Entity
Organization

Contact information

Practice address
912 KENTON STATION DR, MAYSVILLE, KY 41056-9658
(606) 759-0700
(606) 759-0708
Mailing address
912 KENTON STATION DR, MAYSVILLE, KY 41056-9658
(606) 759-0700
(606) 759-0708

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
P07435
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2128819
PK
05
3147142
OH
05
7100153860
KY
Enumeration date
01/19/2011
Last updated
12/04/2023
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