Provider Demographics
NPI:1538843065
Name:SCOTT COUNTY DRUG, PLLC
Entity type:Organization
Organization Name:SCOTT COUNTY DRUG, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:502-316-1344
Mailing Address - Street 1:198 BEVINS LN STE E
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8533
Mailing Address - Country:US
Mailing Address - Phone:502-316-6377
Mailing Address - Fax:833-702-0821
Practice Address - Street 1:198 BEVINS LN STE E
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8533
Practice Address - Country:US
Practice Address - Phone:502-316-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy