Broadway Clinic Pharmacy Inc
LBN: Broadway Clinic Pharmacy Inc
Broadway Clinic Pharmacy Inc is an health care organization with primary practice located at 607 S Mayo Trl , Paintsville KY 41240. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Broadway Clinic Pharmacy Inc can be contacted via phone (606) 789-9988, or through Lemaster, Jennifer via phone (606) 789-9988.
Contact Information
Primary practice address
607 S Mayo Trl
Paintsville KY 41240
Phone: (606) 789-9988
Fax: (606) 789-7619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | P07841 | Kentucky |
Profile Details
NPI number | 1982718961 |
---|---|
LBN Legal business name | Broadway Clinic Pharmacy Inc |
DBA Doing business as | |
Authorized official | Lemaster, Jennifer |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Nov 7th, 2022 - about 2 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 | 1982718961 | NPPES |
Kentucky | MEDICAID | 54008610 | |
Kentucky | Other | 2031830 |
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