Organization
JKKDR, LTD
Active
Other names
Hometown Pharmacy #5147
Organization subpart
No
Provider details
NPI number
Authorized official
DAN BAY (PRESIDENT)
(740) 652-2622
Entity
Organization
Contact information
Practice address
963 HEBRON RD, HEATH, OH 43056-1184
(740) 522-8120
(740) 522-0187
Mailing address
963 HEBRON RD, HEATH, OH 43056-1184
(740) 522-8120
(740) 522-0187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022226550
—
Other
Enumeration date
07/12/2012
Last updated
03/04/2013
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