Organization
FAMILY PHARMACY OF PERRY COUNTY LLC
Active
Organization
FAMILY PHARMACY OF PERRY COUNTY LLC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CHANEY FLETCHER PHARMD (OWNER)
(606) 216-2962
Entity
Organization
Contact information
Practice address
747 MORTON BLVD, HAZARD, KY 41701-9469
(606) 487-1150
(606) 487-1160
Mailing address
PO BOX 2482, HAZARD, KY 41702-2482
(606) 487-1150
(606) 487-1160
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1830911
NCPDP
KY
01
—
1830911
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100060520
—
KY
01
—
P07308
PHARMACY PERMIT
KY
Enumeration date
12/09/2008
Last updated
10/04/2010
Update your record
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