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Contact Information

BLUEGRASS PHARMACIES, INC
1128 N MAIN ST
MADISONVILLE, KY42431-1265
 Phone: 270-825-2775
 Fax: 270-825-0413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BLUEGRASS PHARMACIES, INC

NPI # 1437158730
LBN Legal business name BLUEGRASS PHARMACIES, INC
Authorized official GARY RUSSELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2005
Last updated 05/20/2015 - About 11 years ago
Identifiers
KY License # 1392
KY License # PO1392
KY Medicaid 54016753
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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