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Contact Information

MADISONVILLE PHARMACY INC
127 E NORTH ST
MADISONVILLE, KY42431-1628
 Phone: 270-824-2264
 Fax: 270-824-2265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MADISONVILLE PHARMACY INC

NPI # 1164519351
LBN Legal business name MADISONVILLE PHARMACY INC
Authorized official KELLY HOOD - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2006
Last updated 08/04/2025 - About 10 months ago
Identifiers
KY License # P06569
KY Medicaid 54000542
Other 2028971 PK
KY Other 1806960 NCPDP
KY Other 1164519351 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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