Lewis County Primary Care Center, Inc.
Organization Active NPI Community/Retail Pharmacy · Flemingsburg, KY
NPI 1346513710 · NPPES record last updated Mar 31, 2017
Key facts
- NPI
- 1346513710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P07461 (KY)
- Legal business name
- LEWIS COUNTY PRIMARY CARE CENTER, INC.
- Practice address
- 520 Elizaville Ave
Flemingsburg, KY 41041-1141 - Phone
- (606) 845-0402
- Fax
- (606) 845-0422
- NPI assigned
- Feb 16, 2012
- Organization subpart
- No
Authorized official
- Name
- Chad Evans, PHARMD
- Title
- Director of Pharmacy
- Phone
- (606) 956-0188
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Ashland Location
Locations
520 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 845-0028
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07461 | KY | Yes |
Addresses
Primary practice location
520 Elizaville Ave
Flemingsburg, KY 41041-1141
Mailing address
520 Elizaville Ave
Flemingsburg, KY 41041-1141
Phone (606) 845-0402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100196210 | Medicaid | KY | |
| 2133983 | Other | PK |
Other names
- Flemingsburg Family Health Center Pharmacy
Other providers in Flemingsburg, KY
- Kentucky Post-Acute Medical Services 1 PSC
- Dana Stamper Kerns
- Kristy Klebeck
- Timothy Richard Leuenberger
- Lewis County Primary Care Center, Inc.
- David J Lindberg
- Terri Lynn McCleese
- Donald Earl McDaniel II
- Jennifer McRoberts
- Meadowview Physician Practice LLC
All providers in Flemingsburg, 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 31, 2017. 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.