Prescription Compounding Shoppe

LBN: Prescription Compounding Shoppe
Prescription Compounding Shoppe is an health care organization with primary practice located at 327 E Broadway St , Campbellsville KY 42718-2003. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Prescription Compounding Shoppe can be contacted via phone (270) 465-3784, or through Baise, Edward via phone (270) 789-2165.

Contact Information

Primary practice address
327 E Broadway St Campbellsville KY 42718-2003
Phone: (270) 465-3784
Fax: (270) 789-3784
Website:
Map and Directions
Authorized official contact:
Name: Baise, Edward
Phone: (270) 789-2165

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PO6571 Kentucky

Profile Details

NPI number 1679733034
LBN Legal business name Prescription Compounding Shoppe
DBA Doing business as
Authorized official Baise, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 16 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 1679733034 NPPES
Other 1830721 OTHER ID NUMBER

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