Provider Demographics
NPI:1437333127
Name:MC T'S INC.
Entity Type:Organization
Organization Name:MC T'S INC.
Other - Org Name:PAUL'S CORNER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-219-0594
Mailing Address - Street 1:121 W VIRGINIA AVE
Mailing Address - Street 2:STE E100
Mailing Address - City:PINEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40977-1661
Mailing Address - Country:US
Mailing Address - Phone:606-337-5500
Mailing Address - Fax:606-337-5001
Practice Address - Street 1:121 W VIRGINIA AVE
Practice Address - Street 2:STE E100
Practice Address - City:PINEVILLE
Practice Address - State:KY
Practice Address - Zip Code:40977-1661
Practice Address - Country:US
Practice Address - Phone:606-337-5500
Practice Address - Fax:606-337-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO72233336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy