Antis Pharmacy,Inc in Vanceburg - Pharmacy
Antis Pharmacy,Inc - NPI 1346387859
Antis Pharmacy,Inc is a Pharmacy in Vanceburg, Kentucky. Antis Pharmacy,Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Antis Pharmacy,Inc is 1346387859. The last update date is 2010-05-26.
Antis Pharmacy,Inc's current location address is 89 Second St, Vanceburg, Kentucky. You can contact this provider via phone number 6067962932 and fax number 6067962124. The mailing address for Antis Pharmacy,Inc is 89 Second St, Vanceburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antis Pharmacy,Inc |
|---|---|
| Address | 89 Second St, Vanceburg, Kentucky |
| Phone Number | 6067962932 |
| Fax Number | 6067962124 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Antis D Mark |
| Credentials | RPH |
| Telephone Number | 6067962932 |
NPI Number Detail
| NPI Number | 1346387859 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2010-05-26 |
Provider Mailing Address Detail
| Address | 89 Second St |
|---|---|
| City | Vanceburg |
| State | Kentucky (KY) |
| Post Code | 411795439 |
| Phone Number | 6067962932 |
| Fax Number | 6067962124 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | P06079 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 187766 | OH | -- | |
| 45540010 | KY | EPSDT- SPECIAL SERVICES | |
| 54030077 | KY | -- | |
| 90040684 | KY | MEDICAID DME |
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What is the Antis Pharmacy,Inc's 1346387859?
The Antis Pharmacy,Inc's NPI (National Provider Identifier) Number is 1346387859. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Antis Pharmacy,Inc's physical address?
The Antis Pharmacy,Inc is physically located at 89 Second St, in the city of Vanceburg, KY, with the postal code 411795439.
What is the Antis Pharmacy,Inc's specialty and taxonomy code?
The Antis Pharmacy,Inc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
When was the Antis Pharmacy,Inc's 1346387859 issued?
The Antis Pharmacy,Inc's 1346387859 was issued on 2007-01-31.
When was the information regarding Antis Pharmacy,Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Antis Pharmacy,Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-05-26.