Organization
PROFESSIONAL CENTER PHARMACY ANNEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY F. POWELL R.PH. (OWNER)
(859) 623-8065
Entity
Organization
Contact information
Practice address
793 EASTERN BY-PASS, SUITE G-01, RICHMOND, KY 40475
(859) 623-8065
(859) 623-8065
Mailing address
793 EASTERN BY-PASS, SUITE G-01, RICHMOND, KY 40475
(859) 623-8065
(859) 623-8065
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO6249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1824386
NABP
KY
05
—
54031968
—
KY
Enumeration date
10/03/2006
Last updated
03/07/2023
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