Organization
CHRISTIAN CARE COMMUNITIES, INC.
Active
Other names
Christian Health Center Pharmacy Corbin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W RICHARD MARSHALL (VICE PRESIDENT CFO)
(502) 254-4200
Entity
Organization
Contact information
Practice address
116 COMMONWEALTH AVE, CORBIN, KY 40701
(606) 258-2500
Mailing address
12700 SHELBYVILLE RD, LOUISVILLE, KY 40243-1576
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
54022520
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54022520
—
KY
Enumeration date
03/23/2007
Last updated
08/22/2020
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