Organization
COLLEGE DRUGSTORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E BLANCHI RPH (OWNER)
(606) 679-4983
Entity
Organization
Contact information
Practice address
3810 HEATHER WAY, SOMERSET, KY 42503-9523
(606) 679-4983
Mailing address
3810 HEATHER WAY, SOMERSET, KY 42503-9523
(606) 679-4983
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
1113
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54014519
—
KY
Enumeration date
08/23/2005
Last updated
05/20/2008
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