Healthcare Provider Details

I. General information

NPI: 1619605870
Provider Name (Legal Business Name): HUFF DRUG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 VILLAGE DR
PRESTONSBURG KY
41653-1108
US

IV. Provider business mailing address

115 VILLAGE DR
PRESTONSBURG KY
41653-1108
US

V. Phone/Fax

Practice location:
  • Phone: 606-216-1960
  • Fax:
Mailing address:
  • Phone: 606-216-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN WESLEY HUFF
Title or Position: OWNER
Credential: PHARM.D.
Phone: 606-216-1960