Organization
BELLA LASLEY LLC
Active
Other names
Taylor Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDREW SCHNEIDER (OWNER)
(606) 337-8300
Entity
Organization
Contact information
Practice address
308 S PINE ST, PINEVILLE, KY 40977-1735
(606) 337-8300
(606) 337-8398
Mailing address
308 S PINE ST, PINEVILLE, KY 40977-1735
(606) 337-8300
(606) 337-8398
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08063
STATE LICENSE NUMBER
KY
Enumeration date
09/05/2019
Last updated
07/17/2020
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