Provider Demographics
NPI:1144828724
Name:PHARMACY CARE CENTER
Entity type:Organization
Organization Name:PHARMACY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:606-435-0460
Mailing Address - Street 1:PO BOX 741
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41702-0741
Mailing Address - Country:US
Mailing Address - Phone:606-476-2189
Mailing Address - Fax:
Practice Address - Street 1:10616 SOUTH KY HWY 15
Practice Address - Street 2:
Practice Address - City:SCUDDY
Practice Address - State:KY
Practice Address - Zip Code:41760
Practice Address - Country:US
Practice Address - Phone:606-476-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACY CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy