Mountain Clinic Pharmacy

LBN: Mountain Clinic Pharmacy Llc
Mountain Clinic Pharmacy is an health care organization with primary practice located at 233 E Main St Suite B, Hazard KY 41701-1954. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mountain Clinic Pharmacy Llc can be contacted via phone (606) 436-0045, or through Webb, Brooks via phone (606) 438-2445.

Contact Information

Primary practice address
233 E Main St Suite B Hazard KY 41701-1954
Phone: (606) 436-0045
Fax: (606) 436-0048
Website:
Map and Directions
Authorized official contact:
Name: Webb, Brooks RPH
Phone: (606) 438-2445

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P07143 Kentucky

Profile Details

NPI number 1558451476
LBN Legal business name Mountain Clinic Pharmacy Llc
DBA Doing business as Mountain Clinic Pharmacy
Authorized official Webb, Brooks RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 15th, 2011 - about 14 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 1558451476 NPPES
Kentucky MEDICAID 54012190
Kentucky Other 1829742

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