Middletown Pharmacist Group

LBN: Middletown Pharmacist Group
Middletown Pharmacist Group is an health care organization with primary practice located at 11601 Shelbyville Rd Ste A , Louisville KY 40243-1309. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Middletown Pharmacist Group can be contacted via phone (502) 690-2410, or through Boggess, Mary via phone (502) 690-2410.

Contact Information

Primary practice address
11601 Shelbyville Rd Ste A Louisville KY 40243-1309
Phone: (502) 690-2410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boggess, Mary
Phone: (502) 690-2410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164151585
LBN Legal business name Middletown Pharmacist Group
DBA Doing business as
Authorized official Boggess, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2022
Last updated Jun 9th, 2022 - about 2 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 1164151585 NPPES
Kentucky MEDICAID 7100717140

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