Mountain Comprehensive Care Center, INC.
Pharmacy, Community/Retail Pharmacy in Pikeville, KY. Organization (NPI-2).
NPI number1124883574
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1124883574
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Comprehensive Care Center, INC.
- Organization subpart
- No
- Enumeration date
- Feb 15, 2024
- Certification date
- Feb 14, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Mountain Care Pharmacy (Doing Business As)
Practice location
1330 South Mayo TrailNova Complex, Suite 102
Pikeville, KY 41501
Phone 606-886-8572 · Fax 606-886-4433
Mailing address
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8572 · Fax 606-886-4433
Authorized official
Roxann Cordial
Credentialing Manager
6068868572
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