Bardwell Pharmacy

LBN: Bardwell Pharmacy
Bardwell Pharmacy is an health care organization with primary practice located at 178 Us Hwy 51 N , Bardwell KY 42023. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bardwell Pharmacy can be contacted via phone (270) 628-5445, or through Boaz, Michael via phone (270) 628-5445.

Contact Information

Primary practice address
178 Us Hwy 51 N Bardwell KY 42023
Phone: (270) 628-5445
Fax: (270) 628-3179
Website:
Map and Directions
Authorized official contact:
Name: Boaz, Michael RPH
Phone: (270) 628-5445

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06353 Kentucky
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1205858206
LBN Legal business name Bardwell Pharmacy
DBA Doing business as Bardwell Pharmacy
Authorized official Boaz, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205858206 NPPES
Kentucky MEDICAID 54020524
Kentucky Other 2030630
Kentucky MEDICAID 90011974

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