Woodburn Pharmacy, Llc

LBN: Woodburn Pharmacy, Llc
Woodburn Pharmacy, Llc is an health care organization with primary practice located at 400 E Arcadia Ave , Dawson Springs KY 42408-1638. 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. Woodburn Pharmacy, Llc can be contacted via phone (270) 797-2761, or through Keller, Michael L via phone (270) 797-2010.

Contact Information

Primary practice address
400 E Arcadia Ave Dawson Springs KY 42408-1638
Phone: (270) 797-2761
Fax: (270) 797-3473
Website:
Map and Directions
Authorized official contact:
Name: Keller, Michael L PHARMD, RPH
Phone: (270) 797-2010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO6539 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X PO6539 Kentucky

Profile Details

NPI number 1063507648
LBN Legal business name Woodburn Pharmacy, Llc
DBA Doing business as
Authorized official Keller, Michael L PHARMD, RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 8th, 2017 - about 8 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 1063507648 NPPES
Kentucky Other 1804411 NABP
Kentucky MEDICAID 90008194 NABP
Kentucky MEDICAID 54000757 NABP

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