BLUEGRASS MEDICAL SUPPLY INC TT

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

BLUEGRASS MEDICAL SUPPLY INC TT

636 S COLLEGE ST
HARRODSBURG, KY 40330-2142

Phone: 859-734-4314
Fax: 859-734-4370
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for BLUEGRASS MEDICAL SUPPLY INC TT

NPI Number 1417040072

LBN Legal business name BLUEGRASS MEDICAL SUPPLY INC TT

Authorized official DOUGLAS COYLE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/02/2006

Last updated 05/23/2016 - About 10 years ago

Identifiers

KY	License #	P07368
KY	Medicaid	4590576700
KY	Medicaid	54024773
KY	Medicaid	7100089810
	Other	2122941	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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