Healthcare Provider Details

I. General information

NPI: 1346451713
Provider Name (Legal Business Name): RX DISCOUNT PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MORTON BLVD
HAZARD KY
41701-9473
US

IV. Provider business mailing address

500 MORTON BLVD
HAZARD KY
41701-9473
US

V. Phone/Fax

Practice location:
  • Phone: 606-436-2891
  • Fax: 606-436-0521
Mailing address:
  • Phone: 606-436-2891
  • Fax: 606-436-0521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP06091
License Number StateKY

VIII. Authorized Official

Name: RICHARD K SLONE
Title or Position: PRESIDENT
Credential: RPH.
Phone: 606-436-2891