<Unavail>

LBN: Brodhead Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 54 W Main St , Brodhead KY 40409-8890. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brodhead Pharmacy Inc can be contacted via phone (606) 758-4373, or through Collins, David via phone (606) 758-4373.

Contact Information

Primary practice address
54 W Main St Brodhead KY 40409-8890
Phone: (606) 758-4373
Fax: (606) 758-4764
Website:
Map and Directions
Authorized official contact:
Name: Collins, David
Phone: (606) 758-4373

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06727 Kentucky

Profile Details

NPI number 1386709400
LBN Legal business name Brodhead Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Collins, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 2nd, 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 1386709400 NPPES
Other 2033827 PK
MEDICAID 54002985 PK

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