Clover Fork Outpatient Medical Project Inc
Pharmacy
101 Chad St, Evarts
Kentucky, 40828
606-837-2100 606-837-9389
Clover Fork Outpatient Medical Project Inc is a Pharmacy in Evarts, Kentucky. It is located at 101 Chad St, Evarts and it's customer support contact number is 606-837-2100. The authorized person of Clover Fork Outpatient Medical Project Inc is Mr. Britt Lewis Jr. who is Administrator of the pharmacy and his contact number is 606-837-2108. Active license number of Clover Fork Outpatient Medical Project Inc is P01273 for Pharmacy in Kentucky.
Clover Fork Outpatient Medical Project Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Clover Fork Outpatient Medical Project Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Clover Fork Outpatient Medical Project Inc |
| Type: | Pharmacy |
| Location: | 101 Chad St, Evarts,
Kentucky, 40828 |
| Phone: | 606-837-2100 |
| Fax: | 606-837-9389 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Britt Lewis Jr. |
| Position: | Administrator |
| Contact Number: | 606-837-2108 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1376565226 |
| NPI Enumeration Date: | 23 Jul, 2006 |
| NPI Last Update On: | 21 Oct, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clover Fork Outpatient Medical Project Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | P01273 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | P01273 | Kentucky | Secondary | |
| Parenteral & Enteral Nutrition | P01273 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 54034913 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 39,
Evarts, Kentucky |
| Zip: | 40828-0039 |
| Phone Number: | 606-837-2108 |
| Fax Number: | 606-837-9389 |
Patients can reach Clover Fork Outpatient Medical Project Inc at
101 Chad St, Evarts, Kentucky or can
call on customer care at 606-837-2100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.