LYON DRUG STORE INC
86 Cedar St
Kuttawa, KY 42055
270-388-7371
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | KY | P07717 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2154564 | OTHER | |
54005699 | KY | MEDICAID | |
7100376080 | KY | MEDICAID |