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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
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