National Provider Identifier Database

MTO PHARMACY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

M.T.O. PHARMACY, INC
121 W VIRGINIA AVE STE E100
PINEVILLE, KY40977-1600
Phone: 606-337-2336
Fax: 606-337-1419
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for M.T.O. PHARMACY, INC

NPI Number 1265584023
Legal business name
LBN
M.T.O. PHARMACY, INC
Authorized official DENNY OVERTON - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 01/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: PO2055
  • KY Medicaid: 54022447
  • KY Medicaid: 90200072

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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