Riverside Pharmacy
LBN: Medical Center Pharmacy Of Bowling Green Llc
Riverside Pharmacy is an health care organization with primary practice located at 825 2Nd Ave Suite A1, Bowling Green KY 42101-1786. 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.
Medical Center Pharmacy Of Bowling Green Llc can be contacted via phone (270) 780-2650, or through Hagan, Eric via phone (270) 745-1500.
Contact Information
Primary practice address
825 2Nd Ave Suite A1
Bowling Green KY 42101-1786
Phone: (270) 780-2650
Fax: (270) 780-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07127 | Kentucky |
Profile Details
| NPI number | 1194736603 |
|---|---|
| LBN Legal business name | Medical Center Pharmacy Of Bowling Green Llc |
| DBA Doing business as | Riverside Pharmacy |
| Authorized official | Hagan, Eric PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 30th, 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 | 1194736603 | NPPES |
| Other | 2034615 | PK | |
| MEDICAID | 54012554 | PK |
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