NPI 1306309067
Ccc Management, LLC
Practice location
- Address
- 1237 Carter Ave, Ashland, KY 41101
- Phone
- (606) 393-5588
- Mailing address
- 1237 Carter Ave, Ashland, KY 41101-7514
Authorised official
- Name
- Amanda Dawn Gillum
- Title
- Owner Manager
- Phone
- (606) 393-5588
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1306309067
- Entity type
- Organization
- NPI issued
- 10 Apr 2019
- Record last updated
- 16 Apr 2020
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.