Organization
PIKEVILLE MEDICAL CENTER, INC.
Active
Other names
Pikeville Medical Center Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE HAGY (CFO)
(606) 218-3974
Entity
Organization
Contact information
Practice address
911 BYPASS RD BUILDING E, SUITE 2, PIKEVILLE, KY 41501-1689
(888) 762-5979
(606) 218-4759
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(888) 762-5979
(606) 218-4759
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08123
PHARMACY LICENSE
KY
Enumeration date
05/20/2021
Last updated
03/21/2022
Update your record
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