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Organization

L B CLINIC PHARMACY

Active
Other names
L B CLINIC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
VERLON BANKS RPH (OWNER,AO)
(606) 476-2863
Entity
Organization

Contact information

Practice address
464 ROUTE 699, CORNETTSVILLE, KY 41731
(606) 476-2863
(606) 476-2347
Mailing address
464 ROUTE 699, CORNETTSVILLE, KY 41731
(606) 476-2863
(606) 476-2347

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P01637
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2030376
PK
05
54018940
KY
Enumeration date
08/20/2006
Last updated
08/12/2015
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform