Organization
LARRY AUXIER
Active
Other names
PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NEILA RAWLINS CPH.T. (MANAGER)
(606) 723-5315
Entity
Organization
Contact information
Practice address
1220 RICHMOND RD, IRVINE, KY 40336-7232
(606) 723-5315
(606) 723-8669
Mailing address
1220 RICHMOND RD, IRVINE, KY 40336-7232
(606) 723-5315
(606) 723-8669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P02013
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035136
PK
—
05
—
54022041
—
KY
Enumeration date
05/13/2008
Last updated
07/16/2014
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