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NPI Code Detail

MEDICARE: YOUNGS PHARMACY

MEDICARE: YOUNGS PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578609582
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNGS PHARMACY
Provider Business Mailing Address
First Line : 150 MAIN ST
Second Line :
City : MOUNT VERNON
State : KY
Zip : 40456-2239
Country : US
Telephone Number : 606-256-4613
Fax Number :
Provider Business Practice Location Address
First Line : 150 MAIN ST
Second Line :
City : MOUNT VERNON
State : KY
Zip : 40456-2239
Country : US
Telephone Number : 606-256-4613
Fax Number :
Authorized Official
Title or Position : RPH OWNER
Name : TIMOTHY YOUNG
Credential :
Telephone Number : 606-256-4613
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/22/2020

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Directions to “YOUNGS PHARMACY ” Practice Location

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