Professional Pharmacy, Llc

LBN: Professional Pharmacy, Llc
Professional Pharmacy, Llc is an health care organization with primary practice located at 342 Bogle St Suite 3, Somerset KY 42503-2851. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Professional Pharmacy, Llc can be contacted via phone (606) 679-7979, or through Slusher, Dan via phone (606) 679-1169.

Contact Information

Primary practice address
342 Bogle St Suite 3 Somerset KY 42503-2851
Phone: (606) 679-7979
Fax: (606) 678-0370
Website:
Map and Directions
Authorized official contact:
Name: Slusher, Dan RPH
Phone: (606) 679-1169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 6797 Kentucky

Profile Details

NPI number 1700873544
LBN Legal business name Professional Pharmacy, Llc
DBA Doing business as
Authorized official Slusher, Dan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated May 12th, 2008 - about 17 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 1700873544 NPPES
Kentucky Other 000000245485 ANTHEM PROVIDER NUMBER
Kentucky MEDICAID 54004221 ANTHEM PROVIDER NUMBER
Kentucky MEDICAID 90005240 ANTHEM PROVIDER NUMBER

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