Cooley Apothecary Inc

LBN: Cooley Apothecary Inc
Cooley Apothecary Inc is an health care organization with primary practice located at 128 N Lake Dr , Prestonsburg KY 41653-1270. 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. Cooley Apothecary Inc can be contacted via phone (606) 886-8106, or through Salyer, Wanda K via phone (606) 886-8106.

Contact Information

Primary practice address
128 N Lake Dr Prestonsburg KY 41653-1270
Fax: (606) 886-8148
Website:
Authorized official contact:
Name: Salyer, Wanda K

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P01044 Kentucky

Profile Details

NPI number 1659368439
LBN Legal business name Cooley Apothecary Inc
DBA Doing business as Cooley Apothecary Inc
Authorized official Salyer, Wanda K
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Sep 19th, 2012 - about 14 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 1659368439 NPPES
Kentucky MEDICAID 54012547
Kentucky Other 1808039

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