Ccmh Corporation
NPI #1760149413 in Carrollton, Kentucky
Provider Information
- NPI Number
- 1760149413
- Entity Type
- Organization
- Organization Name
- Ccmh Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Feb 25, 2022
Practice Location
- Address
- 309 11TH ST STE 1007
- City
- Carrollton
- State
- Kentucky
- ZIP Code
- 41008-1435
- Phone
- (502) 732-4378
Authorized Official
- Name
- KIMBERLY HAVERLY
- Title
- CEO
- Phone
- (502) 732-3230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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