Western State Hospital Pharmacy

LBN: Commonwealth Of Kentucky
Western State Hospital Pharmacy is an health care organization with primary practice located at 2400 Russellville Road , Hopkinsville KY 42240. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Psychiatric, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Commonwealth Of Kentucky can be contacted via phone (270) 889-6025, or through Craycraft, Stephanie via phone (502) 782-6243.

Contact Information

Primary practice address
2400 Russellville Road Hopkinsville KY 42240
Phone: (270) 889-6025
Fax: (270) 889-5062
Website:
Map and Directions
Authorized official contact:
Name: Craycraft, Stephanie
Phone: (502) 782-6243

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Kentucky
Pharmacy Service Providers / Geriatric 1835G0303X Kentucky
Pharmacy Service Providers / Psychiatric 1835P1300X Kentucky
Suppliers / Long Term Care Pharmacy 3336L0003X P05010 Kentucky
Suppliers / Long Term Care Pharmacy 3336L0003X P06561 Kentucky

Profile Details

NPI number 1124144456
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as Western State Hospital Pharmacy
Authorized official Craycraft, Stephanie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 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 1124144456 NPPES
Kentucky MEDICAID 54025598
Kentucky MEDICAID 5402559800

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