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.

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Contact Information

DAUGHERTYS DRUG STORE INC

4160 S HWY 27
PINE KNOT, KY 42635

Phone: 606-354-2222
Fax: 606-354-3830
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for DAUGHERTYS DRUG STORE INC

NPI Number 1316938210

LBN Legal business name DAUGHERTYS DRUG STORE INC

Authorized official KERRY MATHENY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/31/2005

Last updated 10/12/2016 - About 10 years ago

Identifiers

KY	License #	P01040
KY	Medicaid	54013933
KY	Medicaid	90007790
	Other	2029239	PK

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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DAUGHERTYS DRUG STORE INC

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for DAUGHERTYS DRUG STORE INC

Reviews for DAUGHERTYS DRUG STORE INC