<Unavail>

LBN: Advance Care Pharmacy Pllc
<Unavail> is an health care organization with primary practice located at 25 Medpark Square Dr Ste 4 , Somerset KY 42503-1708. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advance Care Pharmacy Pllc can be contacted via phone (606) 676-0199, or through Dungan, Jody via phone (606) 676-0199.

Contact Information

Primary practice address
25 Medpark Square Dr Ste 4 Somerset KY 42503-1708
Phone: (606) 676-0199
Fax: (606) 451-7727
Website:
Map and Directions
Authorized official contact:
Name: Dungan, Jody PHARM.D.
Phone: (606) 676-0199

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1104409564
LBN Legal business name Advance Care Pharmacy Pllc
DBA Doing business as <Unavail>
Authorized official Dungan, Jody PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2021
Last updated Nov 15th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104409564 NPPES
Kentucky MEDICAID 7100753830

Popular Providers