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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 Specialty Code Provider Type

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRESTONSBURG PHARMACIST GROUP LLC

NPI # 1538174172
LBN Legal business name PRESTONSBURG PHARMACIST GROUP LLC
Authorized official JUSTIN BELL - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/30/2006
Last updated 09/19/2018 - About 8 years ago
Identifiers
KY License # P01662
KY Medicaid 54019179
Other 2030532 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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