Main Street Pharmacy LLC
NPI #1669652210 in Mt Vernon, Kentucky
Provider Information
- NPI Number
- 1669652210
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 13, 2007
- Last Updated
- Aug 25, 2011
Practice Location
Authorized Official
- Name
- ERIC GIBBS
- Title
- OWNER
- Phone
- (606) 258-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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