Midway Pharmacy
LBN: Midway Pharmacy Of Clarkson Inc
Midway Pharmacy is an health care organization with primary practice located at 1640 2Nd St , Henderson KY 42420-3364. 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) 212-1001, or through Ray, Trevor via phone (270) 212-1001.
Contact Information
Primary practice address
1640 2Nd St
Henderson KY 42420-3364
Phone: (270) 212-1001
Fax: (855) 782-5261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07865 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750895090 |
|---|---|
| LBN Legal business name | Midway Pharmacy Of Clarkson Inc |
| DBA Doing business as | Midway Pharmacy |
| Authorized official | Ray, Trevor |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2017 |
| Last updated | Apr 19th, 2018 - about 6 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 | 1750895090 | NPPES |
| Kentucky | MEDICAID | 7100504950 | |
| Kentucky | Other | 2174033 |
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