South Creek Drug
LBN: London Valu-Rite Pharmacy Inc.
South Creek Drug is an health care organization with primary practice located at 130 Walmart Plaza Dr , Monticello KY 42633-7943. 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.
London Valu-Rite Pharmacy Inc. can be contacted via phone (606) 348-1800, or through Carnes, Timothy via phone (606) 348-1800.
Contact Information
Primary practice address
130 Walmart Plaza Dr
Monticello KY 42633-7943
Phone: (606) 348-1800
Fax: (606) 348-1800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | P06279 | Kentucky |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P06279 | Kentucky |
Profile Details
| NPI number | 1407869571 |
|---|---|
| LBN Legal business name | London Valu-Rite Pharmacy Inc. |
| DBA Doing business as | South Creek Drug |
| Authorized official | Carnes, Timothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Feb 26th, 2021 - about 5 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 | 1407869571 | NPPES |
| Kentucky | MEDICAID | 90012105 | |
| Kentucky | MEDICAID | 54032289 |
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