Organization
PUBLIC DRUG COMPANY INC
Active
Other names
BOONEVILLE DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARRICO PHARM.D. (OWNER AND REG AGENT)
(606) 593-0382
Entity
Organization
Contact information
Practice address
478 KY 11 N, BOONEVILLE, KY 41314
(606) 593-0382
(606) 593-0384
Mailing address
PO BOX 1108, BOONEVILLE, KY 41314-1108
(606) 593-0382
(606) 593-0384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829045
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54010269
—
KY
Enumeration date
11/03/2006
Last updated
01/26/2021
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