Central State Hospital Pharmacy

LBN: Central State Hospital
Central State Hospital Pharmacy is an health care organization with primary practice located at 10510 La Grange Rd , Louisville KY 40223-1277. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Central State Hospital can be contacted via phone (502) 253-7337, or through Mccullen, Joe via phone (502) 253-7000.

Contact Information

Primary practice address
10510 La Grange Rd Louisville KY 40223-1277
Phone: (502) 253-7337
Fax: (502) 253-7344
Website:
Map and Directions
Authorized official contact:
Name: Mccullen, Joe
Phone: (502) 253-7000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Institutional Pharmacy 3336I0012X P05065 Kentucky

Profile Details

NPI number 1144467770
LBN Legal business name Central State Hospital
DBA Doing business as Central State Hospital Pharmacy
Authorized official Mccullen, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2009
Last updated Apr 22nd, 2013 - about 11 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 1144467770 NPPES
Kentucky MEDICAID 54025408
Kentucky Other 2118602

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