Organization
BEREA DRUG CO INC
Active
Other names
BEREA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LITTLE RPH (OWNER, PIC)
(859) 986-4521
Entity
Organization
Contact information
Practice address
402 RICHMOND RD N, STE A, BEREA, KY 40403-1133
(859) 986-4521
(859) 985-0839
Mailing address
402 RICHMOND RD N, STE A, BEREA, KY 40403-1133
(859) 986-4521
(859) 985-0839
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07379
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028583
PK
—
05
—
9010076900
—
KY
Enumeration date
07/16/2006
Last updated
02/27/2025
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