Provider Demographics
NPI:1093852592
Name:TOWN & COUNTRY DISCOUNT DRUGS
Entity Type:Organization
Organization Name:TOWN & COUNTRY DISCOUNT DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-885-6131
Mailing Address - Street 1:3217 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-3815
Mailing Address - Country:US
Mailing Address - Phone:270-885-6131
Mailing Address - Fax:270-885-6132
Practice Address - Street 1:3217 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-3815
Practice Address - Country:US
Practice Address - Phone:270-885-6131
Practice Address - Fax:270-885-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO11883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy