Organization
PHARMACY CARE CENTERS CLINIC LLC
Active
Other names
Pharmacy Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TODD CARTER (PHARMACY MANAGER)
(606) 435-0460
Entity
Organization
Contact information
Practice address
101 TOWN AND COUNTRY LN, SUITE 101, HAZARD, KY 41701-9524
(606) 439-1300
(606) 439-0778
Mailing address
101 TOWN AND COUNTRY LN, SUITE 101, HAZARD, KY 41701-9524
(606) 439-1300
(606) 439-0778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07817
KY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166475
PK
—
Enumeration date
11/23/2016
Last updated
12/01/2016
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