East Main Street Pharmacy

NPI #1174898746 in Hazard, Kentucky

Provider Information

NPI Number
1174898746
Entity Type
Organization
Organization Name
East Main Street Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 15, 2012
Last Updated
Sep 17, 2015

Practice Location

Address
279 E MAIN ST
City
Hazard
ZIP Code
41701-1920
Phone
(606) 487-0107

Authorized Official

Name
DACHEA WOOTON, RPH
Title
OWNER,PIC,AO
Phone
(606) 487-0107

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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