M.T.O. PHARMACY, INC; NPI #1265584023

Contact Information

M.T.O. PHARMACY, INC

121 W VIRGINIA AVE STE E100
PINEVILLE, KY 40977-1600

Phone: 606-337-2336
Fax: 606-337-1419
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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

NPI Number 1265584023

LBN Legal business name M.T.O. PHARMACY, INC

Authorized official DENNY OVERTON - (SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

KY	License #	PO2055
KY	Medicaid	54022447
KY	Medicaid	90200072

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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