Commonwealth of Kentucky

NPI #1679571830 in Somerset, Kentucky

Provider Information

NPI Number
1679571830
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jul 12, 2005
Last Updated
Feb 19, 2018

Practice Location

Address
2441 SOUTH HIGHWAY 27
ZIP Code
42501
Phone
(606) 677-4068

Authorized Official

Name
STEPHANIE CRAYCRAFT
Title
DIRECTOR
Phone
(502) 782-6243

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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