Black Gold Pharmacy

LBN: Black Gold Pharmacy Llc
Black Gold Pharmacy is an health care organization with primary practice located at 173 Citizens Lane , Hazard KY 41701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Black Gold Pharmacy Llc can be contacted via phone (606) 436-0045, or through Robinson, Howard via phone (606) 436-0045.

Contact Information

Primary practice address
173 Citizens Lane Hazard KY 41701
Phone: (606) 436-0045
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Howard
Phone: (606) 436-0045

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07333 Kentucky

Profile Details

NPI number 1487897088
LBN Legal business name Black Gold Pharmacy Llc
DBA Doing business as Black Gold Pharmacy
Authorized official Robinson, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2009
Last updated Apr 29th, 2009 - about 15 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 1487897088 NPPES
Other 1831165 NCPDP PROVIDER IDENTIFICATION NUMBER

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