Grant County Drugs Williamstown

LBN: J Wallace Llc
Grant County Drugs Williamstown is an health care organization with primary practice located at 302 Barnes Rd , Williamstown KY 41097-9483. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. J Wallace Llc can be contacted via phone (859) 824-4239, or through Wallace, Jason via phone (859) 824-4239.

Contact Information

Primary practice address
302 Barnes Rd Williamstown KY 41097-9483
Phone: (859) 824-4239
Fax: (859) 824-2110
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Jason PHARMD, RPH
Phone: (859) 824-4239

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X P06979 Kentucky
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO6979 Kentucky

Profile Details

NPI number 1184728149
LBN Legal business name J Wallace Llc
DBA Doing business as Grant County Drugs Williamstown
Authorized official Wallace, Jason PHARMD, RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 15th, 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 1184728149 NPPES
Other 2029150 PK
MEDICAID 54009139 PK

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