Provider Demographics
NPI:1528372869
Name:POWERS, DAVID E (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:POWERS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 747
Mailing Address - Street 2:
Mailing Address - City:JENKINS
Mailing Address - State:KY
Mailing Address - Zip Code:41537-0467
Mailing Address - Country:US
Mailing Address - Phone:606-832-2121
Mailing Address - Fax:606-832-2118
Practice Address - Street 1:9500 HWY 805
Practice Address - Street 2:
Practice Address - City:JENKINS
Practice Address - State:KY
Practice Address - Zip Code:41537-0467
Practice Address - Country:US
Practice Address - Phone:606-832-2121
Practice Address - Fax:606-832-2118
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012229183500000X
TN0000011853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist