<Unavail>
LBN: Rx Discount Of Berea Pllc
<Unavail> is an health care organization with primary practice located at 102 Prince Royal Dr Ste 2 , Berea KY 40403-1468. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rx Discount Of Berea Pllc can be contacted via phone (859) 985-7283, or through Hubbard, Lonnie via phone (606) 862-8261.
Contact Information
Primary practice address
102 Prince Royal Dr Ste 2
Berea KY 40403-1468
Phone: (859) 985-7283
Fax: (859) 985-0413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P07354 | Kentucky |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1396975223 |
|---|---|
| LBN Legal business name | Rx Discount Of Berea Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hubbard, Lonnie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Jul 2nd, 2014 - about 12 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 | 1396975223 | NPPES |
| Other | 2121292 | PK | |
| MEDICAID | 7100083880 | PK |
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