Organization Name: | PROFESSIONAL PHARMACY OF HAZARD PLLC |
NPI Number: | 1871606285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL THIES (PRESIDENT) |
Mailing Address: | 124 Grand Vue Plz Unit 6 Hazard |
State: | KY US |
Postal Code: | 417016842 |
Phone Number: | 6064350168 |
Fax Number: | 6064870910 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 02/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |