Midway Pharmacy

LBN: Midway Pharmacy Of Clarkson Inc
Midway Pharmacy is an health care organization with primary practice located at 908 Wallace Ave Suite 105, Leitchfield KY 42754-1479. 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. Midway Pharmacy Of Clarkson Inc can be contacted via phone (270) 259-8400, or through Ray, Trevor via phone (270) 259-8400.

Contact Information

Primary practice address
908 Wallace Ave Suite 105 Leitchfield KY 42754-1479
Phone: (270) 259-8400
Fax: (844) 607-4498
Website:
Map and Directions
Authorized official contact:
Name: Ray, Trevor PHARM D
Phone: (270) 259-8400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO6582 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1215914866
LBN Legal business name Midway Pharmacy Of Clarkson Inc
DBA Doing business as Midway Pharmacy
Authorized official Ray, Trevor PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2005
Last updated Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215914866 NPPES
Other 2033412 PK
MEDICAID 7100165120 PK

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