Healthcare Provider Details

I. General information

NPI: 1902975568
Provider Name (Legal Business Name): FRENCHBURG PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 HIGHWAY 36
FRENCHBURG KY
40322-8123
US

IV. Provider business mailing address

732 HIGHWAY 36
FRENCHBURG KY
40322-8123
US

V. Phone/Fax

Practice location:
  • Phone: 606-768-6610
  • Fax: 606-768-6617
Mailing address:
  • Phone: 606-768-6610
  • Fax: 606-768-6617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPO6129
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPO6129
License Number StateKY

VIII. Authorized Official

Name: MS. DEBORAH LEE BREWER
Title or Position: PRESIDENT
Credential: RPH
Phone: 606-768-6610