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M.T.O. PHARMACY INC NPI 1265584023


NPI Information

NPI: 1265584023
Provider Name: M.T.O. PHARMACY, INC

Doing Business As: TOTAL RX CARE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
121 W VIRGINIA AVE STE E100
PINEVILLE, KY
ZIP 40977
Phone: (606) 337-2336
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M.T.O. PHARMACY, INC is a clinic pharmacy pharmacy in Pineville, KY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. M.T.O. PHARMACY, INC NPI is 1265584023. The provider is registered as an organization entity type.
The provider Is Doing Business As Total Rx Care Pharmacy.

The provider's business location address is:

121 W VIRGINIA AVE STE E100
PINEVILLE, KY
ZIP 40977-600
Phone: (606) 337-2336
Fax: (606) 337-1419

The provider's authorized official is Denny Bruce Overton .
The authorized official title is Secretary and has the following contact phone number (606) 337-2336.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPO2055KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
190200072MEDICAIDKENTUCKY
254022447MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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