Daughertys Drug Store Inc

LBN: Daughertys Drug Store Inc
Daughertys Drug Store Inc is an health care organization with primary practice located at 4160 S Hwy 27 , Pine Knot KY 42635. 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. Daughertys Drug Store Inc can be contacted via phone (606) 354-2222, or through Matheny, Kerry via phone (606) 354-2222.

Contact Information

Primary practice address
4160 S Hwy 27 Pine Knot KY 42635
Phone: (606) 354-2222
Fax: (606) 354-3830
Website:
Map and Directions
Authorized official contact:
Name: Matheny, Kerry RPH
Phone: (606) 354-2222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P01040 Kentucky

Profile Details

NPI number 1316938210
LBN Legal business name Daughertys Drug Store Inc
DBA Doing business as Daughertys Drug Store Inc
Authorized official Matheny, Kerry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 12th, 2016 - about 7 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 1316938210 NPPES
Kentucky MEDICAID 54013933
Kentucky MEDICAID 90007790
Kentucky Other 2029239

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