Organization
EAST KENTUCKY PHARMACY INC
Active
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
Update your record
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