Organization
ISOM COMMUNITY PHARMACY INC
Active
Organization
ISOM COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E. BURRIS RPH (PHARMACIST)
(606) 633-9238
Entity
Organization
Contact information
Practice address
93 ISOM PLAZA, ISOM, KY 41824-9011
(606) 633-9238
Mailing address
PO BOX 250, 93 ISOM PLAZA, ISOM, KY 41824-0250
(606) 633-9238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P06559
KY
3336C0003X
Community/Retail Pharmacy
Primary
P06559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54000864
—
KY
05
—
90001546
—
KY
Enumeration date
05/26/2006
Last updated
10/05/2012
Update your record
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