Clover Fork Clinical Pharmacy

LBN: Clover Fork Outpatient Medical Project Inc
Clover Fork Clinical Pharmacy is an health care organization with primary practice located at 101 Chad St , Evarts KY 40828. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Clover Fork Outpatient Medical Project Inc can be contacted via phone (606) 837-2100, or through Lewis, Britt via phone (606) 837-2108.

Contact Information

Primary practice address
101 Chad St Evarts KY 40828
Phone: (606) 837-2100
Fax: (606) 837-9389
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Britt
Phone: (606) 837-2108

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P01273 Kentucky
Suppliers / Parenteral & Enteral Nutrition 332BP3500X P01273 Kentucky
Suppliers / Pharmacy 333600000X P01273 Kentucky

Profile Details

NPI number 1376565226
LBN Legal business name Clover Fork Outpatient Medical Project Inc
DBA Doing business as Clover Fork Clinical Pharmacy
Authorized official Lewis, Britt
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Oct 21st, 2015 - about 10 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 1376565226 NPPES
Kentucky MEDICAID 54034913

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