KC PLLC

Organization Active NPI Community/Retail Pharmacy · Lafayette, TN

NPI 1053944181 · NPPES record last updated Feb 17, 2020

Key facts

NPI
1053944181
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
KC PLLC
Practice address
204 Highway 52 Byp W
Lafayette, TN 37083-1727
Phone
(270) 622-8855
NPI assigned
Feb 17, 2020
Organization subpart
No

Authorized official

Name
Mrs. Elizabeth Ann Keown, R.PH.
Title
Pharmacy Owner
Phone
(270) 622-8855

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

204 Highway 52 Byp W
Lafayette, TN 37083-1727

Mailing address

PO Box 295
Lafayette, TN 37083-0295
Phone (270) 622-8855

Other names

  • First Choice Pharmacy Doing business as

Other providers in Lafayette, TN

All providers in Lafayette, TN · Community/Retail Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.