Heritage Pharmacy
Pharmacy, Community/Retail Pharmacy in Salyersville, KY. Organization (NPI-2).
NPI number1669954681
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1669954681
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Pharmacy
- Organization subpart
- No
- Enumeration date
- Sep 6, 2018
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | P08016 | KY | Yes |
Practice location
870 Parkway DriveSalyersville, KY 41465
Phone 502-592-2394
Mailing address
Po Box 108Salyersville, KY 41465-0108
Phone 606-349-7733 · Fax 606-349-7735
Authorized official
Paul Michael Burchett
Owner/Pic
5025922394
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