Bardwell Pharmacy Ltc

LBN: Bardwell Pharmacy Llc
Bardwell Pharmacy Ltc is an health care organization with primary practice located at 178 Us Hwy 51N , Bardwell KY 42023. 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. Bardwell Pharmacy Llc can be contacted via phone (270) 628-5445, or through Augustus, Chris via phone (270) 628-5445.

Contact Information

Primary practice address
178 Us Hwy 51N Bardwell KY 42023
Phone: (270) 628-5445
Fax: (618) 628-3179
Website:
Map and Directions
Authorized official contact:
Name: Augustus, Chris
Phone: (270) 628-5445

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X P07718 Kentucky

Profile Details

NPI number 1750879524
LBN Legal business name Bardwell Pharmacy Llc
DBA Doing business as Bardwell Pharmacy Ltc
Authorized official Augustus, Chris
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 27th, 2018
Last updated Nov 18th, 2020 - about 4 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 1750879524 NPPES
Other 2177467 PK
MEDICAID 54020524 PK

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