Princeton Drug Store

LBN: Pdc, Llc
Princeton Drug Store is an health care organization with primary practice located at 103 W Main St , Princeton KY 42445-1546. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pdc, Llc can be contacted via phone (270) 365-5585, or through Tucker, Jimmy L via phone (270) 365-5585.

Contact Information

Primary practice address
103 W Main St Princeton KY 42445-1546
Phone: (270) 365-5585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Jimmy L RPH
Phone: (270) 365-5585

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P07858 Kentucky
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1982058517
LBN Legal business name Pdc, Llc
DBA Doing business as Princeton Drug Store
Authorized official Tucker, Jimmy L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2016
Last updated Apr 16th, 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 1982058517 NPPES
Kentucky MEDICAID 7100164190

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