Midway Pharmacy

LBN: Midway Pharmacy Of Clarkson, Inc
Midway Pharmacy is an health care organization with primary practice located at 408 East Maple Street , Caneyville KY 42721. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Midway Pharmacy Of Clarkson, Inc can be contacted via phone (270) 879-6355, or through Ray, Trevor via phone (270) 879-6355.

Contact Information

Primary practice address
408 East Maple Street Caneyville KY 42721
Phone: (270) 879-6355
Fax: (270) 879-6143
Website:
Map and Directions
Authorized official contact:
Name: Ray, Trevor PHARMD
Phone: (270) 879-6355

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PO6776 Kentucky
Suppliers / Pharmacy 333600000X PO6776 Kentucky

Profile Details

NPI number 1467439083
LBN Legal business name Midway Pharmacy Of Clarkson, Inc
DBA Doing business as Midway Pharmacy
Authorized official Ray, Trevor PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 7th, 2023 - about 3 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 1467439083 NPPES
Kentucky MEDICAID 7100165550
Kentucky Other 1827558

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