Organization
BERRY PHARMACIST GROUP LLC
Active
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
07/02/2026
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