<Unavail>
LBN: Bon Harbor Rx, Llc
<Unavail> is an health care organization with primary practice located at 415 Carter Rd , Owensboro KY 42301. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bon Harbor Rx, Llc can be contacted via phone (270) 685-0557, or through Nation, David Larry via phone (270) 864-5398.
Contact Information
Primary practice address
415 Carter Rd
Owensboro KY 42301
Phone: (270) 685-0557
Fax: (270) 688-5858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PO1433 | Kentucky |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1992809958 |
|---|---|
| LBN Legal business name | Bon Harbor Rx, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Nation, David Larry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Apr 7th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992809958 | NPPES |
| Kentucky | MEDICAID | 90330309 | |
| Kentucky | MEDICAID | 54017090 | |
| Kentucky | Other | 2030122 |
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