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EPHRAIM MCDOWELL LIBERTY PHARMACY NPI 1396852307


NPI Information

NPI: 1396852307
Provider Name: EPHRAIM MCDOWELL LIBERTY PHARMACY

Former Legal Business Name: WELLNESS FIRST PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
68 HUSTONVILLE STREET
LIBERTY, KY
ZIP 42539
Phone: (859) 239-1721
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EPHRAIM MCDOWELL LIBERTY PHARMACY is a community/retail pharmacy pharmacy in Liberty, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EPHRAIM MCDOWELL LIBERTY PHARMACY NPI is 1396852307. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wellness First Pharmacy.

The provider's business location address is:

68 HUSTONVILLE STREET
LIBERTY, KY
ZIP 42539-456
Phone: (859) 239-1721

The provider's authorized official is Joan B Haltom .
The authorized official title is Director Of Pharmacy Services and has the following contact phone number (859) 239-1721.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 4/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyP07029KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
154011507MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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