Bondurant'S Pharmacy

LBN: Ickyma Llc
Bondurant'S Pharmacy is an health care organization with primary practice located at 1465 Village Dr , Lexington KY 40504-1614. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ickyma Llc can be contacted via phone (859) 254-8852, or through Brewer, Eric Daniel via phone (859) 254-8852.

Contact Information

Primary practice address
1465 Village Dr Lexington KY 40504-1614
Phone: (859) 254-8852
Fax: (859) 254-8853
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Eric Daniel
Phone: (859) 254-8852

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P06879 Kentucky

Profile Details

NPI number 1265570824
LBN Legal business name Ickyma Llc
DBA Doing business as Bondurant'S Pharmacy
Authorized official Brewer, Eric Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 7th, 2023 - about last year

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 1265570824 NPPES
Kentucky MEDICAID 54005715

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