<Unavail>

LBN: Sscp1 Llc
<Unavail> is an health care organization with primary practice located at 1169 Eastern Parkway Suite 1110, Louisville KY 40217-1462. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sscp1 Llc can be contacted via phone (502) 709-5532, or through Veeranki, Sudhakar via phone (502) 709-5532.

Contact Information

Primary practice address
1169 Eastern Parkway Suite 1110 Louisville KY 40217-1462
Phone: (502) 709-5532
Fax: (502) 371-6659
Website:
Map and Directions
Authorized official contact:
Name: Veeranki, Sudhakar
Phone: (502) 709-5532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1598201436
LBN Legal business name Sscp1 Llc
DBA Doing business as <Unavail>
Authorized official Veeranki, Sudhakar
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Jan 24th, 2020 - about 6 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 1598201436 NPPES
Other 2163762 PK
MEDICAID 7100536810 PK

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