Healthcare Provider Details

I. General information

NPI: 1952498164
Provider Name (Legal Business Name): PYLES PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 06/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 JAMESTOWN STREET
COLUMBIA KY
42728
US

IV. Provider business mailing address

706 JAMESTOWN STREET
COLUMBIA KY
42728
US

V. Phone/Fax

Practice location:
  • Phone: 270-384-5874
  • Fax:
Mailing address:
  • Phone: 270-384-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPO2475
License Number StateKY

VIII. Authorized Official

Name: MRS. SHEILA P BRYANT
Title or Position: PIC
Credential: RPH
Phone: 270-384-5874