Organization
FOUNTAIN SQUARE PHARMACY
Active
Other names
Fountain Square Pharmacy, Fountain Square Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE MCGLONE PHARMD (PHARMACIST/OWNER)
(606) 248-4444
Entity
Organization
Contact information
Practice address
1928 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-4444
(606) 248-6598
Mailing address
1928 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1231
(606) 248-4444
(606) 248-6598
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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