Organization
CUMBERLAND DRUG COMPANY, INC
Active
Organization
CUMBERLAND DRUG COMPANY, INC
Active
Other names
CUMBERLAND DRUG COMPANY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARNEST J. WATTS OWNER (OWNER)
(606) 589-0003
Entity
Organization
Contact information
Practice address
1803 EAST MAIN STREET, CUMBERLAND, KY 40823
(606) 589-0003
(606) 589-0009
Mailing address
1803 EAST MAIN STREET, CUMBERLAND, KY 40823
(606) 589-0003
(606) 589-0009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
90008087
KY
3336C0003X
Community/Retail Pharmacy
Primary
6855
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1827875
NABP
KY
05
—
54005350
—
KY
01
—
6855
PHARMACY PERMIT
KY
05
—
90008087
—
KY
Enumeration date
05/22/2006
Last updated
03/07/2023
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