Organization
MCDOWELL PROFESSIONAL PHARMACY INC
Active
Other names
MCDOWELL PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DAWSON RPH (PRES)
(606) 226-1245
Entity
Organization
Contact information
Practice address
9549 KY HWY 122, MCDOWELL, KY 41647-0700
(606) 377-1088
(606) 377-2626
Mailing address
PO BOX 700, MC DOWELL, KY 41647-0700
(606) 377-1110
(606) 377-2009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02459
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031775
PK
—
05
—
54027982
—
KY
05
—
90210360
—
KY
Enumeration date
11/20/2006
Last updated
08/05/2015
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