Clay Medi Center Pharmacy LLC
NPI #1992041131 in Manchester, Kentucky
Provider Information
- NPI Number
- 1992041131
- Entity Type
- Organization
- Organization Name
- Clay Medi Center Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Jun 20, 2013
Practice Location
- Address
- 509 MEMORIAL DR
- City
- Manchester
- State
- Kentucky
- ZIP Code
- 40962-6195
- Phone
- (606) 598-7933
Authorized Official
- Name
- ROBERT CRUSE
- Title
- OWNER/MANAGER
- Phone
- (502) 432-3621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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