South Shore Family Health Center Pharmacy
LBN: Lewis County Primary Care Center, Inc.
South Shore Family Health Center Pharmacy is an health care organization with primary practice located at 142 Depot Dr , South Shore KY 41175-9306. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lewis County Primary Care Center, Inc. can be contacted via phone (606) 932-2138, or through Evans, Chad via phone (606) 956-0188.
Contact Information
Primary practice address
142 Depot Dr
South Shore KY 41175-9306
Phone: (606) 932-2138
Fax: (606) 932-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07791 | Kentucky |
Profile Details
| NPI number | 1235688920 |
|---|---|
| LBN Legal business name | Lewis County Primary Care Center, Inc. |
| DBA Doing business as | South Shore Family Health Center Pharmacy |
| Authorized official | Evans, Chad PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2016 |
| Last updated | Apr 4th, 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 | 1235688920 | NPPES |
| Kentucky | MEDICAID | 7100442910 | |
| Kentucky | Other | 2164227 | |
| Kentucky | MEDICAID | 0189046 |
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