Etown Pharmacy

LBN: Etown Pharmacy Llc
Etown Pharmacy is an health care organization with primary practice located at 914 N Dixie Ave Ste 103 , Elizabethtown KY 42701-2536. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Etown Pharmacy Llc can be contacted via phone (270) 900-1583, or through Shajiuddin, Mohammed via phone (615) 686-6420.

Contact Information

Primary practice address
914 N Dixie Ave Ste 103 Elizabethtown KY 42701-2536
Phone: (270) 900-1583
Fax: (270) 900-1594
Website:
Map and Directions
Authorized official contact:
Name: Shajiuddin, Mohammed
Phone: (615) 686-6420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07451 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1295020741
LBN Legal business name Etown Pharmacy Llc
DBA Doing business as Etown Pharmacy
Authorized official Shajiuddin, Mohammed
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2011
Last updated Jul 1st, 2020 - about 5 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 1295020741 NPPES
Kentucky MEDICAID 7100170610
Kentucky Other 2130699

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