Bluegrass Drug Store

LBN: Bluegrass Drug Store Pllc
Bluegrass Drug Store is an health care organization with primary practice located at 104 Ponder Ct Ste E&F , Danville KY 40422-9000. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bluegrass Drug Store Pllc can be contacted via phone (859) 236-3535, or through Taylor, Mark via phone (859) 236-3535.

Contact Information

Primary practice address
104 Ponder Ct Ste E&F Danville KY 40422-9000
Fax: (859) 236-3035
Website:
Authorized official contact:
Name: Taylor, Mark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P07500 Kentucky

Profile Details

NPI number 1285900860
LBN Legal business name Bluegrass Drug Store Pllc
DBA Doing business as Bluegrass Drug Store
Authorized official Taylor, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2012
Last updated Mar 28th, 2012 - about 13 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 1285900860 NPPES
Other 1832939 NCPDP PROVIDER IDENTIFICATION NUMBER

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