East Main Pharmacy Llc
LBN: East Main Street Pharmacy
East Main Pharmacy Llc is an health care organization with primary practice located at 279 E Main St , Hazard KY 41701-1920. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
East Main Street Pharmacy can be contacted via phone (606) 487-0107, or through Wooton, Dachea via phone (606) 487-0107.
Contact Information
Primary practice address
279 E Main St
Hazard KY 41701-1920
Phone: (606) 487-0107
Fax: (606) 487-0104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | P07502 | Kentucky |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1174898746 |
---|---|
LBN Legal business name | East Main Street Pharmacy |
DBA Doing business as | East Main Pharmacy Llc |
Authorized official | Wooton, Dachea RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 15th, 2012 |
Last updated | Sep 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174898746 | NPPES |
Kentucky | MEDICAID | 7100206580 | |
Kentucky | Other | 2134045 |
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