Organization
KSC, INC
Active
Other names
Lafayette Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY B STOVALL RPH (PRESIDENT)
(270) 622-8888
Entity
Organization
Contact information
Practice address
526 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1614
(615) 666-4444
(615) 666-2222
Mailing address
526 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1614
(615) 666-4444
(615) 666-2222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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