Organization
HOLLAND DRUG COMPANY LLC
Active
Other names
COMMONWEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JODY HOLLAND (OWNER)
(606) 437-0701
Entity
Organization
Contact information
Practice address
5425 N MAYO TRL, STE 102, PIKEVILLE, KY 41501-2966
(606) 437-0701
(606) 437-9262
Mailing address
PO BOX 2159, PIKEVILLE, KY 41502-2159
(606) 437-0701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07297
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2035143
PK
—
05
—
7100053580
—
KY
05
—
7100124550
—
KY
Enumeration date
04/24/2008
Last updated
03/01/2021
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