Organization
CCMH CORPORATION
Active
Other names
CCMH OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HAVERLY (CEO)
(502) 732-3230
Entity
Organization
Contact information
Practice address
309 11TH ST STE 1007, CARROLLTON, KY 41008-1435
(502) 732-4378
(502) 732-8214
Mailing address
309 11TH ST STE 1007, CARROLLTON, KY 41008-1435
(502) 732-4378
(502) 732-8214
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
02/25/2022
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