<Unavail>
LBN: J W Pharmacy
<Unavail> is an health care organization with primary practice located at 817 Main St , Benton KY 42025-1240. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
J W Pharmacy can be contacted via phone (270) 527-9374, or through Wiseman, James H via phone (270) 527-9374.
Contact Information
Primary practice address
817 Main St
Benton KY 42025-1240
Phone: (270) 527-9374
Fax: (270) 527-3152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 00663 | Kentucky |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 00663 | Kentucky |
| Suppliers / Pharmacy | 333600000X | 00663 | Kentucky |
Profile Details
| NPI number | 1417067729 |
|---|---|
| LBN Legal business name | J W Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Wiseman, James H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Oct 11th, 2016 - about 10 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 | 1417067729 | NPPES |
| Kentucky | Other | 1801100 | NABP |
| Kentucky | MEDICAID | 54009600 | NABP |
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