Eastridge-Phelps Pharmacy Greensburg

LBN: Eastridge-Phelps Pharmacy Llc
Eastridge-Phelps Pharmacy Greensburg is an health care organization with primary practice located at 460 Commerce Dr , Greensburg KY 42743-1402. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eastridge-Phelps Pharmacy Llc can be contacted via phone (270) 299-2333, or through Phelps, Chad via phone (270) 299-2333.

Contact Information

Primary practice address
460 Commerce Dr Greensburg KY 42743-1402
Fax: (270) 299-2334
Website:
Authorized official contact:
Name: Phelps, Chad

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07439 Kentucky

Profile Details

NPI number 1407152515
LBN Legal business name Eastridge-Phelps Pharmacy Llc
DBA Doing business as Eastridge-Phelps Pharmacy Greensburg
Authorized official Phelps, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2011
Last updated Jun 10th, 2022 - about 2 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 1407152515 NPPES
Other 2128693 PK
MEDICAID 7100149910 PK

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