Clay City Pharmacy, Inc.

LBN: Clay City Pharmacy Thomas H Ridenour
Clay City Pharmacy, Inc. is an health care organization with primary practice located at 730 Main St , Clay City IN 47841-1332. 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. Clay City Pharmacy Thomas H Ridenour can be contacted via phone (812) 939-2173, or through Ridenour, Thomas via phone (812) 939-2173.

Contact Information

Primary practice address
730 Main St Clay City IN 47841-1332
Phone: (812) 939-2173
Fax: (812) 939-2508
Website:
Map and Directions
Authorized official contact:
Name: Ridenour, Thomas
Phone: (812) 939-2173

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60002785A Indiana

Profile Details

NPI number 1841339892
LBN Legal business name Clay City Pharmacy Thomas H Ridenour
DBA Doing business as Clay City Pharmacy, Inc.
Authorized official Ridenour, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 16th, 2014 - about 12 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 1841339892 NPPES
Indiana MEDICAID 100081340
Indiana Other 2023798

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