Organization
LEWIS COUNTY PRIMARY CARE CENTER, INC
Active
Other names
Grayson Family Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ERWIN EVANS PHARMD (CHIEF CLINICAL OFFICER)
(606) 956-0188
Entity
Organization
Contact information
Practice address
645 INTERSTATE DRIVE, GRAYSON, KY 41143
(606) 898-0209
(606) 898-0210
Mailing address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-1189
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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