Organization
EAST KENTUCKY PHARMACY INC
Active
Other names
East Kentucky Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BOGGS RPH (PRESIDENT, PIC)
(606) 785-3784
Entity
Organization
Contact information
Practice address
588 HIGHWAY 899, HINDMAN, KY 41822-8955
(606) 785-3784
(606) 785-4510
Mailing address
PO BOX 13, MALLIE, KY 41836-0013
(606) 785-3784
(606) 785-4510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128927
PK
—
05
—
7100151420
—
KY
Enumeration date
02/24/2011
Last updated
08/03/2015
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