Sam'S Professional Pharmacy, Inc
LBN: Sam'S Professional Pharmacy, Inc
Sam'S Professional Pharmacy, Inc is an health care organization with primary practice located at 2 Knox Plz , Barbourville KY 40906-7300. 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.
Sam'S Professional Pharmacy, Inc can be contacted via phone (606) 546-3317, or through Moore, Samuel via phone (606) 546-3317.
Contact Information
Primary practice address
2 Knox Plz
Barbourville KY 40906-7300
Phone: (606) 546-3317
Fax: (606) 546-3928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | P06975 | Kentucky |
| Suppliers / Pharmacy | 333600000X | P06975 | Kentucky |
Profile Details
| NPI number | 1497828578 |
|---|---|
| LBN Legal business name | Sam'S Professional Pharmacy, Inc |
| DBA Doing business as | |
| Authorized official | Moore, Samuel PHARMD, RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Mar 31st, 2008 - about 18 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 | 1497828578 | NPPES |
| Kentucky | MEDICAID | 5400829700 |
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