Larco Pharmacy

LBN: Larco Medical Inc
Larco Pharmacy is an health care organization with primary practice located at 406 N Whitney Ave Ste 1 , Cookeville TN 38501-4243. 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. Larco Medical Inc can be contacted via phone (931) 528-7573, or through Chaffin, Randall via phone (931) 528-7573.

Contact Information

Primary practice address
406 N Whitney Ave Ste 1 Cookeville TN 38501-4243
Phone: (931) 528-7573
Fax: (931) 526-6383
Website:
Map and Directions
Authorized official contact:
Name: Chaffin, Randall
Phone: (931) 528-7573

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3762 Tennessee

Profile Details

NPI number 1831433945
LBN Legal business name Larco Medical Inc
DBA Doing business as Larco Pharmacy
Authorized official Chaffin, Randall
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831433945 NPPES
Other 2093901 PK
MEDICAID 3548141 PK

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