Provider Demographics
NPI:1235116674
Name:RX DISCOUNT PHARMACY INC
Entity Type:Organization
Organization Name:RX DISCOUNT PHARMACY INC
Other - Org Name:RX DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:SLONE
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-436-2891
Mailing Address - Street 1:PO BOX 7157
Mailing Address - Street 2:500 MORTON BLVD
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41702-7157
Mailing Address - Country:US
Mailing Address - Phone:606-436-2891
Mailing Address - Fax:606-436-0521
Practice Address - Street 1:500 MORTON BLVD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41702
Practice Address - Country:US
Practice Address - Phone:606-436-2891
Practice Address - Fax:606-436-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54030085Medicaid
KY54030085Medicaid