Rx Discount Of Berea, Pllc

LBN: Rx Discount Of Berea Pllc
Rx Discount Of Berea, Pllc is an health care organization with primary practice located at 102 Prince Royal Dr Ste 2 , Berea KY 40403-1468. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rx Discount Of Berea Pllc can be contacted via phone (859) 985-7283, or through Hubbard, Lonnie via phone (606) 862-8261.

Contact Information

Primary practice address
102 Prince Royal Dr Ste 2 Berea KY 40403-1468
Phone: (859) 985-7283
Fax: (859) 985-0413
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Lonnie
Phone: (606) 862-8261

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07354 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1396975223
LBN Legal business name Rx Discount Of Berea Pllc
DBA Doing business as Rx Discount Of Berea, Pllc
Authorized official Hubbard, Lonnie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Jul 2nd, 2014 - 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 1396975223 NPPES
Other 2121292 PK
MEDICAID 7100083880 PK

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