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Organization

GALLAHER'S PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONYA LEE MUNCY RPH (PRESIDENT)
(606) 329-2122
Entity
Organization

Contact information

Practice address
2914 BLACKBURN AVE, ASHLAND, KY 41101-4838
(606) 329-2122
(606) 329-8192
Mailing address
2914 BLACKBURN AVE, ASHLAND, KY 41101-4838
(606) 329-2122
(606) 329-8192

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P02373
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54027123
KY
01
P02373
LICENSE
KY
Enumeration date
12/08/2006
Last updated
01/23/2015
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