Organization
SILVERS HOMETOWN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE A CHILDERS PHARMD (OWNER/PRESIDENT)
(606) 343-0101
Entity
Organization
Contact information
Practice address
1251 W COLUMBIA AVE, MONTICELLO, KY 42633-3177
(606) 343-0101
(606) 343-0041
Mailing address
1251 W COLUMBIA AVE, MONTICELLO, KY 42633-3177
(606) 343-0101
(606) 343-0041
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1834565
NCPDP
KY
05
—
7100660260
—
KY
01
—
P07645
PHARMACY PERMIT NUMBER
KY
Enumeration date
08/21/2014
Last updated
02/14/2025
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