Medica Pharmacy & Wellness Center
LBN: Claywell Inc
Medica Pharmacy & Wellness Center is an health care organization with primary practice located at 202 W Stephen Foster Ave , Bardstown KY 40004-1478. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Claywell Inc can be contacted via phone (502) 348-6623, or through Roby, Alyson via phone (502) 348-6623.
Contact Information
Primary practice address
202 W Stephen Foster Ave
Bardstown KY 40004-1478
Phone: (502) 348-6623
Fax: (502) 348-7704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P01371 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1407873235 |
|---|---|
| LBN Legal business name | Claywell Inc |
| DBA Doing business as | Medica Pharmacy & Wellness Center |
| Authorized official | Roby, Alyson RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 29th, 2021 - about 5 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 | 1407873235 | NPPES |
| Kentucky | MEDICAID | 90006909 | |
| Kentucky | MEDICAID | 54000302 |
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