The Medicine Centre Pharmacy

LBN: Pharmacy Services Of Campbellsville
The Medicine Centre Pharmacy is an health care organization with primary practice located at 325 E Broadway St , Campbellsville KY 42718-2003. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmacy Services Of Campbellsville can be contacted via phone (270) 465-3784, or through Baise, Edward via phone (270) 465-3784.

Contact Information

Primary practice address
325 E Broadway St Campbellsville KY 42718-2003
Fax: (270) 789-3784
Website:
Authorized official contact:
Name: Baise, Edward PBS

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P01893 Kentucky

Profile Details

NPI number 1356434799
LBN Legal business name Pharmacy Services Of Campbellsville
DBA Doing business as The Medicine Centre Pharmacy
Authorized official Baise, Edward PBS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Nov 10th, 2015 - about 10 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 1356434799 NPPES
Kentucky MEDICAID 54020631
Kentucky Other 2030601

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