Organization
SPECIALTY CARE CENTERS OF EASTERN KENTUCKY
Active
Other names
Vicco Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BURTON RPH (OWNER,PIC,AO)
(606) 251-3931
Entity
Organization
Contact information
Practice address
10897 S HIGHWAY 15, SCUDDY, KY 41760-9033
(606) 476-2333
(606) 476-2082
Mailing address
PO BOX 189, VICCO, KY 41773-0189
(606) 476-2333
(606) 476-2082
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131977
PK
—
05
—
7100178780
—
KY
Enumeration date
09/30/2011
Last updated
02/23/2017
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