Whitley'S Pharmacy
LBN: David R. Whitley
Whitley'S Pharmacy is an health care organization with primary practice located at 501 N Main St , Russellville KY 42276-1636. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
David R. Whitley can be contacted via phone (270) 726-9592, or through Whitley, David Randall via phone (270) 726-9592.
Contact Information
Primary practice address
501 N Main St
Russellville KY 42276-1636
Phone: (270) 726-9592
Fax: (270) 726-9881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P01622 | Kentucky |
Profile Details
| NPI number | 1649312778 |
|---|---|
| LBN Legal business name | David R. Whitley |
| DBA Doing business as | Whitley'S Pharmacy |
| Authorized official | Whitley, David Randall |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | May 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649312778 | NPPES |
| Kentucky | MEDICAID | 54018767 | |
| Kentucky | Other | 1815072 |
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