Organization
KINGDOM HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY EDMONDS PHARMD, RPH (OWNER)
(270) 967-1616
Entity
Organization
Contact information
Practice address
789 CHAPEL HILL RD, MARION, KY 42064-1858
(270) 967-1616
(270) 967-1617
Mailing address
789 CHAPEL HILL RD, MARION, KY 42064-1858
(270) 967-1616
(270) 967-1617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08044
KY BOARD OF PHARMACY
KY
Enumeration date
03/28/2019
Last updated
11/27/2023
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