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Contact Information

BLACK GOLD PHARMACY LLC
173 CITIZENS LANE
HAZARD, KY41701
 Phone: 606-436-0045
 Fax:
 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
Indicates primary specialty

NPI Profile & details for BLACK GOLD PHARMACY LLC

NPI Number 1487897088
LBN Legal business name BLACK GOLD PHARMACY LLC
Authorized official HOWARD ROBINSON - (PHARMACIST/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2009
Last updated 04/29/2009 - About 17 years ago
Identifiers
KY License # P07333
Other 1831165 NCPDP PROVIDER IDENTIFICATION NUMBER
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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