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Contact Information

KIMS HOMETOWN PHARMACY INC
865 S HIGHWAY 25 W
WILLIAMSBURG, KY40769-1918
 Phone: 606-549-8700
 Fax: 606-544-9555
 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
Indicates primary specialty

NPI Profile & details for KIMS HOMETOWN PHARMACY INC

NPI # 1376700138
LBN Legal business name KIMS HOMETOWN PHARMACY INC
Authorized official KIMBERLY JONES - (OWNER,PIC,AO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2008
Last updated 08/12/2015 - About 11 years ago
Identifiers
KY License # P07255
KY Medicaid 7100039220
Other 2035133 PK
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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