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
Fax: (270) 754-9881
Website:
Authorized official contact:
Name: Elliott, Theresa Powers Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578066072 NPPES
Kentucky Other P07870 PHARMACY PERMIT

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