Casey County Pharmacy Llc

LBN: Casey County Pharmacy Inc
Casey County Pharmacy Llc is an health care organization with primary practice located at 430 N Wallace Wilkinson Blvd , Liberty KY 42539-3018. 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. Casey County Pharmacy Inc can be contacted via phone (606) 787-0119, or through Eubank, David via phone (606) 787-0119.

Contact Information

Primary practice address
430 N Wallace Wilkinson Blvd Liberty KY 42539-3018
Fax: (606) 787-2693
Website:
Authorized official contact:
Name: Eubank, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07658 Kentucky

Profile Details

NPI number 1518362581
LBN Legal business name Casey County Pharmacy Inc
DBA Doing business as Casey County Pharmacy Llc
Authorized official Eubank, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2014
Last updated Jun 12th, 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 1518362581 NPPES
Other 2148602 PK
MEDICAID 7100328970 PK

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