Organization
APPALACHIAN DRUG LLC
Active
Other names
Appalachian Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BENTLEY (OWNER)
(606) 794-9314
Entity
Organization
Contact information
Practice address
9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
(606) 754-5186
(606) 754-5188
Mailing address
9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
(606) 754-5186
(606) 754-5188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07997
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176775
PK
—
05
—
7100522420
—
KY
Enumeration date
03/19/2018
Last updated
09/07/2022
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