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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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