NPI 1144799719

Pine Mountain Pharmacy INC

Organisation Community/Retail Pharmacy Whitesburg, KY

Practice location

Address: 421 Highway 119 N, Whitesburg, KY 41858
Phone: (606) 454-5378
Mailing address: PO Box 3026, Pikeville, KY 41502-3026

Authorised official

Name: Robin Justice
Title: President
Phone: (606) 454-5378

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

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Registry record

NPI: 1144799719
Entity type: Organization
NPI issued: 13 Nov 2018
Record last updated: 13 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.