Midtown Pharmacy Express, Llc
LBN: Midtown Pharmacy Express, Llc
Midtown Pharmacy Express, Llc is an health care organization with primary practice located at 500 N Main St , Beaver Dam KY 42320-1949. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Midtown Pharmacy Express, Llc can be contacted via phone (270) 274-9224, or through Fuller, Johnathan via phone (270) 274-9224.
Contact Information
Primary practice address
500 N Main St
Beaver Dam KY 42320-1949
Phone: (270) 274-9224
Fax: (270) 274-9226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07565 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1932442266 |
|---|---|
| LBN Legal business name | Midtown Pharmacy Express, Llc |
| DBA Doing business as | |
| Authorized official | Fuller, Johnathan PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2013 |
| Last updated | Nov 20th, 2013 - about 11 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 | 1932442266 | NPPES |
| Kentucky | Other | P07565 | PHARMACY LICENSE |
| Kentucky | MEDICAID | 7100238220 | PHARMACY LICENSE |
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