Organization
PUBLIC DRUG COMPANY INC
Active
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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