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
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