Four Rivers Pharmacy

LBN: Adio Pharmacy Distribution Services
Four Rivers Pharmacy is an health care organization with primary practice located at 415 Broadway St , Paducah KY 42001-0713. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Adio Pharmacy Distribution Services can be contacted via phone (270) 538-0772, or through Swami, Victor via phone (270) 538-0772.

Contact Information

Primary practice address
415 Broadway St Paducah KY 42001-0713
Phone: (270) 538-0772
Fax: (270) 538-0773
Website:
Map and Directions
Authorized official contact:
Name: Swami, Victor
Phone: (270) 538-0772

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X P06845 Kentucky

Profile Details

NPI number 1992710511
LBN Legal business name Adio Pharmacy Distribution Services
DBA Doing business as Four Rivers Pharmacy
Authorized official Swami, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 9th, 2015 - about 11 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 1992710511 NPPES
Other 2034082 PK
MEDICAID 54004700 PK

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