Organization
HAROLD PRIMARY CARE CLINIC PHARMACY LLC
Active
Other names
Harold Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LITTLE (VICE PRESIDENT/CO/OWNER,AO)
(606) 478-1600
Entity
Organization
Contact information
Practice address
159 KY 680 EAST, HAROLD, KY 41635
(606) 478-1600
(606) 478-1604
Mailing address
PO BOX 700, MC DOWELL, KY 41647-0700
(606) 377-1110
(606) 377-2626
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127459
PK
—
Enumeration date
10/26/2010
Last updated
09/08/2021
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