Kentucky Cvs Pharmacy, L.l.c.

NPI #1912000662 in Marion, Kentucky

Provider Information

NPI Number: 1912000662
Entity Type: Organization
Organization Name: Kentucky Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Oct 7, 2010

Practice Location

Address: 307 STURGIS RD
City: Marion
State: Kentucky
ZIP Code: 42064-1240
Phone: (502) 965-4114

Authorized Official

Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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