Grassroots Pharmacy, Pllc

LBN: Grassroots Pharmacy Pllc
Grassroots Pharmacy, Pllc is an health care organization with primary practice located at 2304 Sir Barton Way Ste 195 , Lexington KY 40509-2284. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grassroots Pharmacy Pllc can be contacted via phone (859) 227-0707, or through Roberts, Shelley via phone (859) 227-0707.

Contact Information

Primary practice address
2304 Sir Barton Way Ste 195 Lexington KY 40509-2284
Phone: (859) 227-0707
Fax: (859) 263-1684
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Shelley RPH
Phone: (859) 227-0707

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07798 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1336690122
LBN Legal business name Grassroots Pharmacy Pllc
DBA Doing business as Grassroots Pharmacy, Pllc
Authorized official Roberts, Shelley RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2016
Last updated Nov 16th, 2016 - about 8 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 1336690122 NPPES
Other 2165793 PK

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