Medicine Shoppe

LBN: Blacklog Apothecary Inc
Medicine Shoppe is an health care organization with primary practice located at 62 Kirk Plz , Inez KY 41224-6501. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blacklog Apothecary Inc can be contacted via phone (606) 298-7774, or through Chaffin, Randall Berry via phone (606) 298-7774.

Contact Information

Primary practice address
62 Kirk Plz Inez KY 41224-6501
Phone: (606) 298-7774
Fax: (606) 298-4975
Website:
Map and Directions
Authorized official contact:
Name: Chaffin, Randall Berry RPH
Phone: (606) 298-7774

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P01894 Kentucky
Suppliers / Pharmacy 333600000X P01894 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X P01894 Kentucky

Profile Details

NPI number 1831235480
LBN Legal business name Blacklog Apothecary Inc
DBA Doing business as Medicine Shoppe
Authorized official Chaffin, Randall Berry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 7th, 2023 - 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 1831235480 NPPES
Kentucky MEDICAID 54020623
Kentucky Other 1817230
Kentucky MEDICAID 9008080500

Popular Providers