The Medicine Shoppe 1479

LBN: Dssk Pharmaceuticals
The Medicine Shoppe 1479 is an health care organization with primary practice located at 145 Citizens Ln Suite A, Hazard KY 41701-1352. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Dssk Pharmaceuticals can be contacted via phone (606) 435-2020, or through Fields, Donald R via phone (606) 435-2020.

Contact Information

Primary practice address
145 Citizens Ln Suite A Hazard KY 41701-1352
Phone: (606) 435-2020
Fax: (606) 487-8172
Website:
Map and Directions
Authorized official contact:
Name: Fields, Donald R R PH
Phone: (606) 435-2020

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6469 Kentucky

Profile Details

NPI number 1205834314
LBN Legal business name Dssk Pharmaceuticals
DBA Doing business as The Medicine Shoppe 1479
Authorized official Fields, Donald R R PH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1205834314 NPPES
Kentucky MEDICAID 54032271

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