Madisonville Pharmacy, Inc.
LBN: Madisonville Pharmacy Inc
Madisonville Pharmacy, Inc. is an health care organization with primary practice located at 200 Clinic Dr Ste 101, Madisonville KY 42431-1661. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Madisonville Pharmacy Inc can be contacted via phone (270) 824-2264, or through Hood, Kelly via phone (270) 824-2264.
Contact Information
Primary practice address
200 Clinic Dr Ste 101
Madisonville KY 42431-1661
Phone: (270) 824-2264
Fax: (270) 824-2265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P06569 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1164519351 |
|---|---|
| LBN Legal business name | Madisonville Pharmacy Inc |
| DBA Doing business as | Madisonville Pharmacy, Inc. |
| Authorized official | Hood, Kelly RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2006 |
| Last updated | Apr 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164519351 | NPPES |
| Other | 2028971 | PK | |
| MEDICAID | 54000542 | PK |
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