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ST. MATTHEWS PHARMACY LLC NPI 1477120228


NPI Information

NPI: 1477120228
Provider Name: ST. MATTHEWS PHARMACY LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 18D2248485

Address:
181 VILLAGE LN STE 2
HAZARD, KY
ZIP 41701
Phone: (606) 225-8120
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ST. MATTHEWS PHARMACY LLC is a community/retail pharmacy pharmacy in Hazard, 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. ST. MATTHEWS PHARMACY LLC NPI is 1477120228. The provider is registered as an organization entity type.

The provider's business location address is:

181 VILLAGE LN STE 2
HAZARD, KY
ZIP 41701-581
Phone: (606) 225-8120

The provider's authorized official is Bradley Eckmann .
The authorized official title is Chief Of Staff and has the following contact phone number (502) 314-0146.

The CLIA number assigned to this NPI record is 18D2248485 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 8/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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: 4/28/2024

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