Hines Pharmacy

LBN: Hines Pharmacy At Wkoa Llc
Hines Pharmacy is an health care organization with primary practice located at 165 Natchez Trace Ave Ste 101, Bowling Green KY 42103. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hines Pharmacy At Wkoa Llc can be contacted via phone (270) 796-1818, or through Hines, Greg via phone (270) 796-1818.

Contact Information

Primary practice address
165 Natchez Trace Ave Ste 101 Bowling Green KY 42103
Fax: (270) 796-1988
Website:
Authorized official contact:
Name: Hines, Greg BS

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07245 Kentucky

Profile Details

NPI number 1982875514
LBN Legal business name Hines Pharmacy At Wkoa Llc
DBA Doing business as Hines Pharmacy
Authorized official Hines, Greg BS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Jun 28th, 2018 - about 7 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 1982875514 NPPES
Other 2035125 PK
MEDICAID 7100037420 PK

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