Organization
TPC MARTIN INC
Active
Other names
Total Pharmacy Care #4
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY ROWE (VICE PRESIDENT)
(606) 433-0555
Entity
Organization
Contact information
Practice address
1102 KENTUCKY ROUTE 122, MARTIN, KY 41649
(606) 949-1555
(606) 949-1558
Mailing address
533 HAMBLEY BLVD, PIKEVILLE, KY 41501-3709
(606) 433-0555
(606) 433-0555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07795
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163600
PK
—
05
—
7100427500
—
KY
Enumeration date
08/24/2016
Last updated
11/30/2016
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