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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