Dixie Pharmacy

LBN: Dixie Pharmacy-2 Llc
Dixie Pharmacy is an health care organization with primary practice located at 1311 Ring Rd Ste 107 , Elizabethtown KY 42701-8968. 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. Dixie Pharmacy-2 Llc can be contacted via phone (270) 872-0588, or through Yoonus, Navas via phone (270) 872-0588.

Contact Information

Primary practice address
1311 Ring Rd Ste 107 Elizabethtown KY 42701-8968
Phone: (270) 872-0588
Fax: (270) 872-0589
Website:
Map and Directions
Authorized official contact:
Name: Yoonus, Navas
Phone: (270) 872-0588

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07760 Kentucky

Profile Details

NPI number 1326409475
LBN Legal business name Dixie Pharmacy-2 Llc
DBA Doing business as Dixie Pharmacy
Authorized official Yoonus, Navas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2016
Last updated Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326409475 NPPES
Other 2158876 PK
MEDICAID 7100407790 PK

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