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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