Cedar Trace Pharmacy, Inc.

NPI #1952402992 in Pikeville, Kentucky

Provider Information

NPI Number
1952402992
Entity Type
Organization
Organization Name
Cedar Trace Pharmacy, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 25, 2006
Last Updated
Feb 11, 2008

Practice Location

Address
95 WEDDINGTON BRANCH RD
ZIP Code
41501-3203
Phone
(606) 432-2424

Authorized Official

Name
LARRY FORTENBERRY, RPH
Title
CO-OWNER
Phone
(606) 432-2424

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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