M.T.O. Pharmacy, Inc
Organization Active NPI Clinic Pharmacy · Pineville, KY
NPI 1265584023 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265584023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- PO2055 (KY)
- Legal business name
- M.T.O. PHARMACY, INC
- Practice address
- 121 W Virginia Ave Ste E100
Pineville, KY 40977-1600 - Phone
- (606) 337-2336
- Fax
- (606) 337-1419
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Denny Bruce Overton, RPH
- Title
- Secretary
- Phone
- (606) 337-2336
National Provider Directory
Locations
121 W Virginia Ave
Ste E100
Pineville, KY 40977
Phone (606) 337-2336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | PO2055 | KY | Yes |
Addresses
Primary practice location
121 W Virginia Ave Ste E100
Pineville, KY 40977-1600
Mailing address
PO Box 507
121 Virginia Ave., Suite E100
Pineville, KY 40977-0507
Phone (606) 337-2336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54022447 | Medicaid | KY | |
| 90200072 | Medicaid | KY |
Other names
- Total Rx Care Pharmacy
Other providers in Pineville, KY
- Eleanor Liford
- Jeffrey S Lima
- Log Mountain Family Healthcare LLC
- Log Mountain Family Healthcare LLC
- Lone Jack Elementary School
- Kaitlyn Mace
- Maggies Enterprises LLC
- Samantha Maiden
- Martha Combs Woolum MD PLLC
- MC T'S Inc.
All providers in Pineville, KY · Clinic 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 Aug 22, 2020. 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.