Madison South Pharmacy
LBN: Madison South Pharmacy Llc
Madison South Pharmacy is an health care organization with primary practice located at 405 Richmond Rd N Ste D, Berea KY 40403-2083. 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.
Madison South Pharmacy Llc can be contacted via phone (859) 228-0010, or through Gibbs, Eric via phone (606) 258-0000.
Contact Information
Primary practice address
405 Richmond Rd N Ste D
Berea KY 40403-2083
Phone: (859) 228-0010
Fax: (859) 228-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07271 | Kentucky |
Profile Details
| NPI number | 1386890952 |
|---|---|
| LBN Legal business name | Madison South Pharmacy Llc |
| DBA Doing business as | Madison South Pharmacy |
| Authorized official | Gibbs, Eric |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Aug 2nd, 2012 - about 12 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 | 1386890952 | NPPES |
| Other | 1830808 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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