Hometown Apothecary

LBN: Hometown Apothecary
Hometown Apothecary is an health care organization with primary practice located at 1355 Us Hwy 41A S , Dixon KY 42409. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Hometown Apothecary can be contacted via phone (270) 639-5242, or through Smith, Jane via phone (270) 639-5242.

Contact Information

Primary practice address
1355 Us Hwy 41A S Dixon KY 42409
Fax: (270) 639-6369
Website:
Authorized official contact:
Name: Smith, Jane

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X PO6351 Kentucky

Profile Details

NPI number 1548487507
LBN Legal business name Hometown Apothecary
DBA Doing business as
Authorized official Smith, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 13th, 2007 - about 17 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 1548487507 NPPES
Other 1824994 OTHER ID NUMBER
MEDICAID 54001086 OTHER ID NUMBER

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