National Provider Identifier Database

DAUGHERTYS DRUG STORE INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

DAUGHERTYS DRUG STORE INC
4160 S HWY 27
PINE KNOT, KY42635
Phone: 606-354-2222
Fax: 606-354-3830
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for DAUGHERTYS DRUG STORE INC

NPI Number 1316938210
Legal business name
LBN
DAUGHERTYS DRUG STORE INC
Authorized official KERRY MATHENY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/31/2005
Last updated 10/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P01040
  • KY Medicaid: 54013933
  • KY Medicaid: 90007790
  • Other: 2029239 PK

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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