MEDICARE: DEHART PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	012290	KY
2	3336C0003X	Community/Retail Pharmacy	P07011	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	P07011	OTHER	KY	KY PHARMACY PERMIT

General Provider Information

NPI Number	:	1528054160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEHART PHARMACY, INC.

Provider Business Mailing Address
First Line	:	101 WEST TOM T HALL BLVD
Second Line	:
City	:	OLIVE HILL
State	:	KY
Zip	:	41164
Country	:	US
Telephone Number	:	606-286-1457
Fax Number	:	606-286-1288

Provider Business Practice Location Address
First Line	:	101 WEST TOM T HALL BLVD
Second Line	:
City	:	OLIVE HILL
State	:	KY
Zip	:	41164
Country	:	US
Telephone Number	:	606-286-1457
Fax Number	:	606-286-1288

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	MRS. LEANN LEWIS TURLEY
Credential	:	PHARM. D.
Telephone Number	:	606-286-1457

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	09/11/2025

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Directions to “DEHART PHARMACY, INC. ” Practice Location

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