Organization
GRANT COUNTY DRUGS INC
Active
Organization
GRANT COUNTY DRUGS INC
Active
Other names
GRANT COUNTY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WALLACE RPH (OWNER)
(859) 823-5271
Entity
Organization
Contact information
Practice address
24 S MAIN ST, DRY RIDGE, KY 41035-7329
(859) 823-5271
(859) 823-0039
Mailing address
PO BOX 106, DRY RIDGE, KY 41035-0106
(859) 823-5271
(859) 823-0039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P06853
KY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027882
PK
—
05
—
54008925
—
KY
05
—
90020413
—
KY
Enumeration date
09/21/2006
Last updated
09/19/2025
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