Betsy Layne Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Betsy Layne, KY
NPI 1164558912 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1164558912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07641 (KY)
- Legal business name
- BETSY LAYNE PHARMACY INC
- Practice address
- 11155 US Hwy 23 S
Betsy Layne, KY 41605-4160 - Phone
- (606) 478-9474
- Fax
- (606) 478-1000
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jody Holland, RPH
- Title
- Owner President
- Phone
- (606) 478-9474
Practitioners 2
-
Erica Paige Hall, PHARMACIST
-
Joanmarie Holland, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07641 | KY | Yes |
Addresses
Primary practice location
11155 US Hwy 23 S
Betsy Layne, KY 41605-4160
Mailing address
PO Box 2159
Pikeville, KY 41502-2159
Phone (606) 478-9474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54017017 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvholland@mikrotec.com | ||
| Direct Messaging Address | jvholland@mikrotec.com |
Other providers in Betsy Layne, KY
- Betsy Layne Physical Therapy LLC
- Brent Gilford Clark
- Olivia Corrinne Davis
- Wayne R. Edwards
- Essential Solutions Inc.
All providers in Betsy Layne, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 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.