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Organization

NORTONVILLE DRUG STORE INC

Active
Other names
NORTONVILLE DRUG STORE INC
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY BURKETT RPH (PRES)
(270) 686-8263
Entity
Organization

Contact information

Practice address
102 GREENVILLE RD, NORTONVILLE, KY 42442
(270) 676-8268
(270) 676-8205
Mailing address
PO BOX 967, NORTONVILLE, KY 42442-0967
(270) 676-8268
(270) 676-8205

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P02106
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1819359
NCPDP PROVIDER IDENTIFICATION NUMBER
05
54023544
KY
05
90140542
KY
Enumeration date
07/31/2006
Last updated
04/29/2011
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