Afton Pharmacy Store
Organization Active NPI Pharmacist · Jeffersonville, IN
NPI 1104417112 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1104417112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- Legal business name
- AFTON PHARMACY STORE
- Practice address
- 1802 E 10TH St
Jeffersonville, IN 47130-6016 - Phone
- (502) 724-2018
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Brenda Robertson
- Title
- Manager
- Phone
- (502) 724-2018
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | Yes |
Addresses
Primary practice location
1802 E 10TH St
Jeffersonville, IN 47130-6016
Mailing address
1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone (502) 724-2018
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.