Family Drug Center 3

LBN: Southeastern Family Drug Center, Inc
Family Drug Center 3 is an health care organization with primary practice located at 214 Bridge St , Manchester KY 40962-1204. 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. Southeastern Family Drug Center, Inc can be contacted via phone (606) 598-6736, or through Sparkman, Robert P via phone (606) 598-6736.

Contact Information

Primary practice address
214 Bridge St Manchester KY 40962-1204
Fax: (606) 599-0636
Website:
Authorized official contact:
Name: Sparkman, Robert P R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P01555 Kentucky
Suppliers / Pharmacy 333600000X P01555 Kentucky

Profile Details

NPI number 1619037181
LBN Legal business name Southeastern Family Drug Center, Inc
DBA Doing business as Family Drug Center 3
Authorized official Sparkman, Robert P R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 4th, 2015 - about 9 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 1619037181 NPPES
Kentucky MEDICAID 5401807200
Kentucky MEDICAID 90070269

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