NPI 1174898746
East Main Street Pharmacy
Practice location
- Address
- 279 E Main St, Hazard, KY 41701-1920
- Phone
- (606) 487-0107
- Fax
- (606) 487-0104
- Mailing address
- PO Box 2069, Hazard, KY 41702-2069
Authorised official
- Name
- Dachea Wooton
- Title
- Owner,pic,ao
- Phone
- (606) 487-0107
Registered specialties (2)
Community/Retail Pharmacy
Primary
Compounding Pharmacy
Registry record
- NPI
- 1174898746
- Entity type
- Organization
- NPI issued
- 15 Mar 2012
- Record last updated
- 17 Sep 2015
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.