Organization
M & M DRUG INC
Active
Other names
M & M DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCKINNEY (PRES)
(859) 623-1980
Entity
Organization
Contact information
Practice address
110 BIG HILL AVE, RICHMOND, KY 40475-2008
(859) 623-1980
(606) 625-1899
Mailing address
PO BOX 1088, RICHMOND, KY 40476-1088
(859) 623-1980
(606) 625-1899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO6116
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808180
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
54033071
—
KY
05
—
90200767
—
KY
Enumeration date
10/27/2005
Last updated
10/25/2011
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