Healthcare Provider Details

I. General information

NPI: 1083468797
Provider Name (Legal Business Name): TFH PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14949 N US HIGHWAY 25 E STE 3
CORBIN KY
40701-6285
US

IV. Provider business mailing address

14949 N US HIGHWAY 25 E STE 3
CORBIN KY
40701-6285
US

V. Phone/Fax

Practice location:
  • Phone: 606-280-4212
  • Fax:
Mailing address:
  • Phone: 606-280-4212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DYLAN DAY
Title or Position: COO
Credential:
Phone: 606-515-2324