Provider Demographics
NPI:1528836582
Name:PHILLIPS PRATT & MCFARLAND PSC
Entity type:Organization
Organization Name:PHILLIPS PRATT & MCFARLAND PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE DEPT. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROXELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-348-3365
Mailing Address - Street 1:1 S CREEK DR STE 122
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-9472
Mailing Address - Country:US
Mailing Address - Phone:606-348-3365
Mailing Address - Fax:
Practice Address - Street 1:1 S CREEK DR STE 122
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-9472
Practice Address - Country:US
Practice Address - Phone:606-348-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy