Hometown Pharmacy

LBN: Goforth Pharmacy Llc
Hometown Pharmacy is an health care organization with primary practice located at 406 Bogle St , Somerset KY 42503. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Goforth Pharmacy Llc can be contacted via phone (606) 677-1062, or through Goforth, Robert via phone (606) 305-1321.

Contact Information

Primary practice address
406 Bogle St Somerset KY 42503
Phone: (606) 677-1062
Fax: (606) 677-1182
Website:
Map and Directions
Authorized official contact:
Name: Goforth, Robert PHRMD
Phone: (606) 305-1321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P07201 Kentucky

Profile Details

NPI number 1356532352
LBN Legal business name Goforth Pharmacy Llc
DBA Doing business as Hometown Pharmacy
Authorized official Goforth, Robert PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 19th, 2009 - about 15 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 1356532352 NPPES
Kentucky MEDICAID 7100025300
Kentucky Other 1830288
Kentucky MEDICAID 7100004180

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