Clay Drug Store

LBN: Clay Drug Store Inc
Clay Drug Store is an health care organization with primary practice located at 9055 St Rt 132 W , Clay KY 42404. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clay Drug Store Inc can be contacted via phone (270) 664-2270, or through Wright, Whitney via phone (270) 664-2270.

Contact Information

Primary practice address
9055 St Rt 132 W Clay KY 42404
Fax: (270) 664-6633
Website:
Authorized official contact:
Name: Wright, Whitney RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06492 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1740397876
LBN Legal business name Clay Drug Store Inc
DBA Doing business as Clay Drug Store
Authorized official Wright, Whitney RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 3rd, 2015 - about 9 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 1740397876 NPPES
Other 2123849 PK
MEDICAID 7100112330 PK

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