National Provider Identifier Database

PRESTONSBURG PHARMACIST GROUP LLC
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

PRESTONSBURG PHARMACIST GROUP LLC
400 UNIVERSITY DR
SUITE 100
PRESTONSBURG, KY41653
Phone: 606-886-1202
Fax: 606-886-1346
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PRESTONSBURG PHARMACIST GROUP LLC

NPI Number 1538174172
Legal business name
LBN
PRESTONSBURG PHARMACIST GROUP LLC
Authorized official JUSTIN BELL - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 07/30/2006
Last updated 09/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: P01662
  • KY Medicaid: 54019179
  • Other: 2030532 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRESTONSBURG PHARMACIST GROUP LLC

There are currently no reviews for PRESTONSBURG PHARMACIST GROUP LLC


NPIdb - Home
v2.201