Clinic Pharmacy Madisonville
LBN: Central City Clinic Pharmacy, Inc.
Clinic Pharmacy Madisonville is an health care organization with primary practice located at 510 Ruby Dr , Madisonville KY 42431-2168. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Central City Clinic Pharmacy, Inc. can be contacted via phone (270) 754-4300, or through Elliott, Theresa Powers via phone (270) 684-3414.
Contact Information
Primary practice address
510 Ruby Dr
Madisonville KY 42431-2168
Phone: (270) 754-4300
Fax: (270) 754-9881
Website:
Authorized official contact:
Name: Elliott, Theresa Powers Doctor of Osteopathy (DO)
Phone: (270) 684-3414
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07870 | Kentucky |
Profile Details
| NPI number | 1578066072 |
|---|---|
| LBN Legal business name | Central City Clinic Pharmacy, Inc. |
| DBA Doing business as | Clinic Pharmacy Madisonville |
| Authorized official | Elliott, Theresa Powers Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2018 |
| Last updated | Mar 12th, 2018 - about 8 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 | 1578066072 | NPPES |
| Kentucky | Other | P07870 | PHARMACY PERMIT |
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