Organization
SPECIALTY CARE CENTERS OF EASTERN KENTUCKY
Active
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
Update your record
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