Cedar Trace Pharmacy, Inc.
LBN: Cedar Trace Pharmacy, Inc.
Cedar Trace Pharmacy, Inc. is an health care organization with primary practice located at 95 Weddington Branch Rd , Pikeville KY 41501-3203. 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.
Cedar Trace Pharmacy, Inc. can be contacted via phone (606) 432-2424, or through Fortenberry, Larry via phone (606) 432-2424.
Contact Information
Primary practice address
95 Weddington Branch Rd
Pikeville KY 41501-3203
Phone: (606) 432-2424
Fax: (606) 432-2454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P06850 | Kentucky |
Profile Details
| NPI number | 1952402992 |
|---|---|
| LBN Legal business name | Cedar Trace Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Fortenberry, Larry RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Feb 11th, 2008 - about 16 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 | 1952402992 | NPPES |
| Kentucky | MEDICAID | 54004486 |
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