MEDICARE: YOUNGS PHARMACY

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	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1578609582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNGS PHARMACY

Provider Business Mailing Address
First Line	:	150 MAIN ST
Second Line	:
City	:	MOUNT VERNON
State	:	KY
Zip	:	40456-2239
Country	:	US
Telephone Number	:	606-256-4613
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 MAIN ST
Second Line	:
City	:	MOUNT VERNON
State	:	KY
Zip	:	40456-2239
Country	:	US
Telephone Number	:	606-256-4613
Fax Number	:

Authorized Official
Title or Position	:	RPH OWNER
Name	:	TIMOTHY YOUNG
Credential	:
Telephone Number	:	606-256-4613

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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Directions to “YOUNGS PHARMACY ” Practice Location

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