Healthcare Provider Details

I. General information

NPI: 1245650647
Provider Name (Legal Business Name): RX DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 GRAND VUE PLZ
HAZARD KY
41701-6842
US

IV. Provider business mailing address

PO BOX 1569
HAZARD KY
41702-1569
US

V. Phone/Fax

Practice location:
  • Phone: 606-436-9900
  • Fax: 606-436-9903
Mailing address:
  • Phone: 606-436-2407
  • Fax: 606-436-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHME00804
License Number StateKY

VIII. Authorized Official

Name: RICHARD SLONE
Title or Position: PRESIDENT
Credential:
Phone: 606-436-2407