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NPI Code Detail

MEDICARE: NUNN DRUGS INC

MEDICARE: NUNN DRUGS INC
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
1332B00000XDurable Medical Equipment & Medical SuppliesP00473KY
23336C0003XCommunity/Retail PharmacyP00473KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700817897
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUNN DRUGS INC
Provider Business Mailing Address
First Line : PO BOX 479
Second Line :
City : EDMONTON
State : KY
Zip : 42129-0479
Country : US
Telephone Number : 270-432-3111
Fax Number :
Provider Business Practice Location Address
First Line : 1704 W STOCKTON ST
Second Line :
City : EDMONTON
State : KY
Zip : 42129-8137
Country : US
Telephone Number : 270-432-3111
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KEVIN EMBERTON
Credential : RPH
Telephone Number : 270-432-3111
Provider Enumeration Date : 07/06/2006
Last Update Date : 10/02/2012

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Directions to “NUNN DRUGS INC ” Practice Location

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