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Contact Information

VILLAGEMD CLINICALS PHARMACY KENTUCKY
1000 S 12TH ST STE A
MURRAY, KY42071
 Phone: 270-767-6960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VILLAGEMD CLINICALS PHARMACY KENTUCKY

NPI Number 1629559224
LBN Legal business name VILLAGEMD CLINICALS PHARMACY KENTUCKY
Authorized official DAVID KOON - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2018
Last updated 05/14/2020 - About 6 years ago
Identifiers
KY License # P08013
KY Medicaid 7100555250
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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