Organization
ELKHORN DRUG INC
Active
Other names
ELKHORN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESTER PHARM D (OWNER)
(606) 754-0221
Entity
Organization
Contact information
Practice address
105 E ELKHORN ST, ELKHORN CITY, KY 41522-8557
(606) 754-0221
(606) 754-0225
Mailing address
PO BOX 532, ELKHORN CITY, KY 41522-0532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06897
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034108
PK
—
05
—
54005665
—
KY
Enumeration date
08/20/2006
Last updated
09/26/2016
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