Clinic Pharmacy
LBN: Central City Clinic Pharmacy Inc
Clinic Pharmacy is an health care organization with primary practice located at 203 N 2Nd St , Central City KY 42330-1205. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Central City Clinic Pharmacy Inc can be contacted via phone (270) 754-4300, or through Fogle, Shane via phone (270) 754-4300.
Contact Information
Primary practice address
203 N 2Nd St
Central City KY 42330-1205
Phone: (270) 754-4300
Fax: (270) 754-9881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P00339 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1679660823 |
|---|---|
| LBN Legal business name | Central City Clinic Pharmacy Inc |
| DBA Doing business as | Clinic Pharmacy |
| Authorized official | Fogle, Shane RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | May 16th, 2020 - about 4 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 | 1679660823 | NPPES |
| Kentucky | MEDICAID | 54012455 | |
| Kentucky | Other | 2028602 |
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