Corum Family Pharmacy
LBN: Corum Family Pharmacy Llc
Corum Family Pharmacy is an health care organization with primary practice located at 1668 S Highway 421 , Manchester KY 40962-7514. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Corum Family Pharmacy Llc can be contacted via phone (606) 599-0505, or through Windham, Randy via phone (606) 599-0505.
Contact Information
Primary practice address
1668 S Highway 421
Manchester KY 40962-7514
Phone: (606) 599-0505
Fax: (606) 599-0508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PO7555 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1154661650 |
|---|---|
| LBN Legal business name | Corum Family Pharmacy Llc |
| DBA Doing business as | Corum Family Pharmacy |
| Authorized official | Windham, Randy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2013 |
| Last updated | Jun 18th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154661650 | NPPES |
| Other | 2139027 | PK | |
| MEDICAID | 7100235820 | PK |
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