Organization
CUMBERLAND DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE WATTS RPH (OWNER)
(606) 589-0003
Entity
Organization
Contact information
Practice address
1803 E MAIN ST, CUMBERLAND, KY 40823-1840
(606) 589-0003
Mailing address
1803 E MAIN ST, CUMBERLAND, KY 40823-1840
(606) 589-0003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90008087
—
KY
Enumeration date
07/12/2005
Last updated
08/22/2020
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