Organization
DEANS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE H DEAN (TREASURER)
(606) 735-2322
Entity
Organization
Contact information
Practice address
109 LOCUST ST, BROOKSVILLE, KY 41004
(606) 735-2322
(606) 735-2754
Mailing address
PO BOX 6, BROOKSVILLE, KY 41004
(606) 735-2322
(606) 735-2754
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO1057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1809714
NCPDP
—
05
—
54014022
—
KY
Enumeration date
02/22/2007
Last updated
05/11/2015
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