Organization
LONDON VALU-RITE PHARMACY
Active
Other names
South Creek Drug
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CARNES (OWNER)
(606) 348-1800
Entity
Organization
Contact information
Practice address
1 S CREEK DR, MONTICELLO, KY 42633-9472
(606) 348-1800
(606) 348-1708
Mailing address
1 S CREEK DR, MONTICELLO, KY 42633-9472
(606) 348-1800
(606) 348-1708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P06279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164389
PK
—
Enumeration date
10/03/2016
Last updated
10/03/2016
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