Berea Drug
LBN: Berea Drug Co Inc
Berea Drug is an health care organization with primary practice located at 402 Richmond Rd N Ste A, Berea KY 40403-1133. 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 / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Berea Drug Co Inc can be contacted via phone (859) 986-4521, or through Little, Robert via phone (859) 986-4521.
Contact Information
Primary practice address
402 Richmond Rd N Ste A
Berea KY 40403-1133
Phone: (859) 986-4521
Fax: (859) 985-0839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07379 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750308730 |
|---|---|
| LBN Legal business name | Berea Drug Co Inc |
| DBA Doing business as | Berea Drug |
| Authorized official | Little, Robert RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Mar 30th, 2016 - about 8 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 | 1750308730 | NPPES |
| Other | 2028583 | PK | |
| MEDICAID | 54012976 | PK | |
| MEDICAID | 9010076900 | PK |
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