Corner Prescription Shoppe Inc
LBN: Corner Prescription Shoppe Inc
Corner Prescription Shoppe Inc is an health care organization with primary practice located at 401 Sycamore St , Williamsburg KY 40769-1136. 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.
Corner Prescription Shoppe Inc can be contacted via phone (606) 549-0884, or through Bordes, Michael via phone (606) 549-0884.
Contact Information
Primary practice address
401 Sycamore St
Williamsburg KY 40769-1136
Phone: (606) 549-0884
Fax: (606) 539-0860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P01565 | Kentucky |
Profile Details
| NPI number | 1194942292 |
|---|---|
| LBN Legal business name | Corner Prescription Shoppe Inc |
| DBA Doing business as | Corner Prescription Shoppe Inc |
| Authorized official | Bordes, Michael BACHELOR OF SCI |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jan 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194942292 | NPPES |
| Other | 2030349 | PK | |
| MEDICAID | 54018171 | PK | |
| MEDICAID | 90151184 | PK |
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