Kmg Pharmacy Llc
LBN: Kmg Pharmacy Llc
Kmg Pharmacy Llc is an health care organization with primary practice located at 846 E Main St , Trotwood OH 45426-2911. 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.
Kmg Pharmacy Llc can be contacted via phone (937) 529-4433, or through Shaltaf, Mahmoud via phone (937) 829-1012.
Contact Information
Primary practice address
846 E Main St
Trotwood OH 45426-2911
Phone: (937) 529-4433
Fax: (937) 715-4447
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 022532100 | Ohio |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1366811630 |
---|---|
LBN Legal business name | Kmg Pharmacy Llc |
DBA Doing business as | Kmg Pharmacy Llc |
Authorized official | Shaltaf, Mahmoud DR |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 17th, 2015 |
Last updated | Mar 9th, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366811630 | NPPES |
Ohio | MEDICAID | 0146319 | |
Ohio | Other | 2152395 |
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