MEDICARE: RX DISCOUNT PHARMACY OF HARLAN COUNTY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	P07140	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2034253	OTHER		PK

General Provider Information

NPI Number	:	1831271626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX DISCOUNT PHARMACY OF HARLAN COUNTY INC

Provider Business Mailing Address
First Line	:	PO BOX 1569
Second Line	:
City	:	HAZARD
State	:	KY
Zip	:	41702-1569
Country	:	US
Telephone Number	:	606-436-2407
Fax Number	:	606-436-0727

Provider Business Practice Location Address
First Line	:	2734 S HIGHWAY 421
Second Line	:
City	:	MANCHESTER
State	:	KY
Zip	:	40962-7515
Country	:	US
Telephone Number	:	606-598-0330
Fax Number	:	606-598-0315

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD SLONE
Credential	:
Telephone Number	:	606-436-2407

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	05/01/2025

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