Archer Clinic Pharmacy

LBN: Prestonsburg Pharmacist Group Llc
Archer Clinic Pharmacy is an health care organization with primary practice located at 400 University Dr Suite 100, Prestonsburg KY 41653. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Prestonsburg Pharmacist Group Llc can be contacted via phone (606) 886-1202, or through Bell, Justin via phone (502) 370-4336.

Contact Information

Primary practice address
400 University Dr Suite 100 Prestonsburg KY 41653
Phone: (606) 886-1202
Fax: (606) 886-1346
Website:
Map and Directions
Authorized official contact:
Name: Bell, Justin
Phone: (502) 370-4336

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P01662 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1538174172
LBN Legal business name Prestonsburg Pharmacist Group Llc
DBA Doing business as Archer Clinic Pharmacy
Authorized official Bell, Justin
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 30th, 2006
Last updated Sep 19th, 2018 - about 8 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 1538174172 NPPES
Other 2030532 PK
MEDICAID 54019179 PK

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