Clay Medicenter Pharmacy

LBN: Clay Medi Center Pharmacy Llc
Clay Medicenter Pharmacy is an health care organization with primary practice located at 509 Memorial Dr , Manchester KY 40962-6195. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clay Medi Center Pharmacy Llc can be contacted via phone (606) 598-7933, or through Cruse, Robert via phone (502) 432-3621.

Contact Information

Primary practice address
509 Memorial Dr Manchester KY 40962-6195
Phone: (606) 598-7933
Fax: (606) 598-1887
Website:
Map and Directions
Authorized official contact:
Name: Cruse, Robert
Phone: (502) 432-3621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07541 Kentucky

Profile Details

NPI number 1992041131
LBN Legal business name Clay Medi Center Pharmacy Llc
DBA Doing business as Clay Medicenter Pharmacy
Authorized official Cruse, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2012
Last updated Jun 20th, 2013 - about 12 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 1992041131 NPPES
Other 2139171 PK

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