Mcconnell Health Mart Pharmacy

LBN: Lyon Drug Store Inc
Mcconnell Health Mart Pharmacy is an health care organization with primary practice located at 86 Cedar St , Kuttawa KY 42055-0159. 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. Lyon Drug Store Inc can be contacted via phone (270) 388-7371, or through Nickell, Edwin via phone (270) 388-2236.

Contact Information

Primary practice address
86 Cedar St Kuttawa KY 42055-0159
Phone: (270) 388-7371
Fax: (270) 388-5675
Website:
Map and Directions
Authorized official contact:
Name: Nickell, Edwin
Phone: (270) 388-2236

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07717 Kentucky

Profile Details

NPI number 1679553325
LBN Legal business name Lyon Drug Store Inc
DBA Doing business as Mcconnell Health Mart Pharmacy
Authorized official Nickell, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 21st, 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 1679553325 NPPES
Kentucky MEDICAID 7100376080
Kentucky Other 2154564
Kentucky MEDICAID 54005699

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