Organization
KENTUCKY MOUNTAIN HEALTH ALLIANCE
Active
Parent organization
KENTUCKY MOUNTAIN HEALTH ALLIANCE
Other names
Kentucky Mountain Health Alliance Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY MOUNTAIN HEALTH ALLIANCE
Authorized official
REBECCA CHEEK PHARMD (340B COORDINATOR)
(606) 487-9505
Entity
Organization
Contact information
Practice address
1908 N MAIN ST STE 240, HAZARD, KY 41701-2503
(606) 487-9505
Mailing address
1908 N MAIN ST # 204, HAZARD, KY 41701-2505
(606) 487-9505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08307
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
11/17/2023
Last updated
11/17/2023
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