<Unavail>

LBN: Ephraim Mcdowell Liberty Pharmacy
<Unavail> is an health care organization with primary practice located at 68 Hustonville Street , Liberty KY 42539-3456. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ephraim Mcdowell Liberty Pharmacy can be contacted via phone (859) 239-1721, or through Haltom, Joan B via phone (859) 239-1721.

Contact Information

Primary practice address
68 Hustonville Street Liberty KY 42539-3456
Phone: (859) 239-1721
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haltom, Joan B PHARMD
Phone: (859) 239-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07029 Kentucky

Profile Details

NPI number 1396852307
LBN Legal business name Ephraim Mcdowell Liberty Pharmacy
DBA Doing business as <Unavail>
Authorized official Haltom, Joan B PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 17th, 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 1396852307 NPPES
Kentucky MEDICAID 54011507

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