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Contact Information

WESTERN STATE HOSPITAL PHARMACY
2400 RUSSELLVILLE RD
HOPKINSVILLE, KY42240-8095
 Phone: 270-889-6025
 Fax: 270-889-5062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WESTERN STATE HOSPITAL PHARMACY

NPI # 1043497480
LBN Legal business name WESTERN STATE HOSPITAL PHARMACY
Authorized official ROGER WESTFALL - (DIRECTOR OF ADMINISTRATIVE SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2008
Last updated 01/29/2008 - About 18 years ago
Identifiers
KY License # P05010
KY License # P06561
KY Medicaid 5402559800
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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