Provider Demographics
NPI:1033839782
Name:CONLEY BROTHERS LLC
Entity Type:Organization
Organization Name:CONLEY BROTHERS LLC
Other - Org Name:CONVENIENT RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COTY
Authorized Official - Middle Name:BRENTON
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-371-3714
Mailing Address - Street 1:120 HOMESTEAD ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:TUTOR KEY
Mailing Address - State:KY
Mailing Address - Zip Code:41263-8702
Mailing Address - Country:US
Mailing Address - Phone:606-371-3714
Mailing Address - Fax:
Practice Address - Street 1:111 BRAD DR
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465-8433
Practice Address - Country:US
Practice Address - Phone:606-349-3161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy