Laker Drug

LBN: Laker Drug Inc.
Laker Drug is an health care organization with primary practice located at 92 Joe T Petty Dr , Russell Springs KY 42642-8543. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Laker Drug Inc. can be contacted via phone (270) 866-7787, or through Carnes, Timothy D via phone (270) 343-2336.

Contact Information

Primary practice address
92 Joe T Petty Dr Russell Springs KY 42642-8543
Phone: (270) 866-7787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carnes, Timothy D
Phone: (270) 343-2336

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P06839 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06839 Kentucky

Profile Details

NPI number 1992718084
LBN Legal business name Laker Drug Inc.
DBA Doing business as Laker Drug
Authorized official Carnes, Timothy D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Mar 17th, 2008 - 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 1992718084 NPPES
Kentucky MEDICAID 54004593
Kentucky MEDICAID 90009507

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