Wagners Pharmacy Inc

LBN: Wagners Pharmacy Inc
Wagners Pharmacy Inc is an health care organization with primary practice located at 3113 S 4Th St , Louisville KY 40214. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wagners Pharmacy Inc can be contacted via phone (502) 375-3800, or through Wagner, Patricia M via phone (502) 426-1788.

Contact Information

Primary practice address
3113 S 4Th St Louisville KY 40214
Phone: (502) 375-3800
Fax: (502) 375-0085
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Patricia M
Phone: (502) 426-1788

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P00851 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881731073
LBN Legal business name Wagners Pharmacy Inc
DBA Doing business as
Authorized official Wagner, Patricia M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 27th, 2012 - about 14 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 1881731073 NPPES
Kentucky MEDICAID 54004643

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