National Provider Identifier Database

J W PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

J W PHARMACY
817 MAIN ST
BENTON, KY42025-1240
Phone: 270-527-9374
Fax: 270-527-3152
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for J W PHARMACY

NPI Number 1417067729
Legal business name
LBN
J W PHARMACY
Authorized official JAMES WISEMAN - (OWNER PRES)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 10/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 00663
  • KY Medicaid: 54009600
  • KY Other: 1801100 NABP

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.

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