Russell Springs Pharmacy

LBN: Russell Springs Pharmacy
Russell Springs Pharmacy is an health care organization with primary practice located at 92 Joe T Petty Dr Ste 100, Russell Springs KY 42642-8544. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Russell Springs Pharmacy can be contacted via phone (270) 866-2778, or through Warner, Jeff via phone (270) 866-2778.

Contact Information

Primary practice address
92 Joe T Petty Dr Ste 100 Russell Springs KY 42642-8544
Fax: (270) 866-2779
Website:
Authorized official contact:
Name: Warner, Jeff

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07329 Kentucky

Profile Details

NPI number 1841348406
LBN Legal business name Russell Springs Pharmacy
DBA Doing business as Russell Springs Pharmacy
Authorized official Warner, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 23rd, 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 1841348406 NPPES
Other 1829881 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 7100070700 NCPDP PROVIDER IDENTIFICATION NUMBER

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