Four Rivers Pharmacy
LBN: Adio Pharmacy Distribution Services
Four Rivers Pharmacy is an health care organization with primary practice located at 415 Broadway St , Paducah KY 42001-0713. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Adio Pharmacy Distribution Services can be contacted via phone (270) 538-0772, or through Swami, Victor via phone (270) 538-0772.
Contact Information
Primary practice address
415 Broadway St
Paducah KY 42001-0713
Phone: (270) 538-0772
Fax: (270) 538-0773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X | P06845 | Kentucky |
Profile Details
NPI number | 1992710511 |
---|---|
LBN Legal business name | Adio Pharmacy Distribution Services |
DBA Doing business as | Four Rivers Pharmacy |
Authorized official | Swami, Victor |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 30th, 2006 |
Last updated | Nov 9th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992710511 | NPPES |
Other | 2034082 | PK | |
MEDICAID | 54004700 | PK |
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