Healthcare Provider Details

I. General information

NPI: 1528054160
Provider Name (Legal Business Name): DEHART PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WEST TOM T HALL BLVD
OLIVE HILL KY
41164
US

IV. Provider business mailing address

101 WEST TOM T HALL BLVD
OLIVE HILL KY
41164
US

V. Phone/Fax

Practice location:
  • Phone: 606-286-1457
  • Fax: 606-286-1288
Mailing address:
  • Phone: 606-286-1457
  • Fax: 606-286-1288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012290
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07011
License Number StateKY

VIII. Authorized Official

Name: MRS. LEANN LEWIS TURLEY
Title or Position: PHARMACIST OWNER
Credential: PHARM. D.
Phone: 606-286-1457