Eastridge-Phelps Pharmacy
LBN: Eastridge-Phelps Pharmacy Llc
Eastridge-Phelps Pharmacy is an health care organization with primary practice located at 101 Winston Way Suite A, Campbellsville KY 42718-4953. 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.
Eastridge-Phelps Pharmacy Llc can be contacted via phone (270) 789-0577, or through Phelps, Chad via phone (270) 789-0577.
Contact Information
Primary practice address
101 Winston Way Suite A
Campbellsville KY 42718-4953
Phone: (270) 789-0577
Fax: (270) 789-0578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07325 | Kentucky |
Profile Details
| NPI number | 1245478007 |
|---|---|
| LBN Legal business name | Eastridge-Phelps Pharmacy Llc |
| DBA Doing business as | Eastridge-Phelps Pharmacy |
| Authorized official | Phelps, Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2009 |
| Last updated | Mar 5th, 2021 - about 4 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 | 1245478007 | NPPES |
| Other | 1831038 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 7100060880 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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