Healthcare Provider Details

I. General information

NPI: 1851372197
Provider Name (Legal Business Name): SUTTON DRUGS OF LACENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 BROADWAY
LA CENTER KY
42056
US

IV. Provider business mailing address

PO BOX 179
LA CENTER KY
42056-0179
US

V. Phone/Fax

Practice location:
  • Phone: 270-665-5192
  • Fax: 270-665-9296
Mailing address:
  • Phone: 270-665-5192
  • Fax: 270-665-9296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RICHARD L SUTTON
Title or Position: PRESIDENT
Credential:
Phone: 270-665-5192