Organization
S.E.W. ENTERPRISES, INC.
Active
Other names
Duncan Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MYKEL LINN TIDWELL (PRESIDENT)
(270) 247-3345
Entity
Organization
Contact information
Practice address
1522 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-3725
(270) 247-6033
Mailing address
1522 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-3725
(270) 247-6033
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
P07700
KY
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
P07700
KY
Other
Enumeration date
03/12/2009
Last updated
08/12/2022
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