Organization
PROFESSIONAL CARE PHARMACY INC
Active
Other names
PROFESSIONAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAN STEVENSON (OWNER)
(606) 796-6100
Entity
Organization
Contact information
Practice address
207 PLUMMERS LN, STE A, VANCEBURG, KY 41179-7683
(606) 796-6100
(606) 796-2407
Mailing address
207 PLUMMERS LN, STE A, VANCEBURG, KY 41179-7683
(606) 796-6100
(606) 796-2407
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030633
PK
—
05
—
54029749
—
KY
Enumeration date
08/31/2006
Last updated
03/08/2017
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