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Contact Information

PENDLETON PHARMACIST GROUP INC
1100 WEST SHELBY STREET
FALMOUTH, KY41040
 Phone: 859-654-3232
 Fax: 859-654-3277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PENDLETON PHARMACIST GROUP INC

NPI Number 1447323514
LBN Legal business name PENDLETON PHARMACIST GROUP INC
Authorized official HEATHER FRONK - (CORPORATE PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2006
Last updated 12/12/2012 - About 13 years ago
Identifiers
KY License # 743031560
KY License # P07273
KY Medicaid 54030739
KY Medicaid 7100056430
KY Medicaid 90030966
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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