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SOUTHEASTERN FAMILY DRUG CENTER INC NPI 1619037181


NPI Information

NPI: 1619037181
Provider Name: SOUTHEASTERN FAMILY DRUG CENTER, INC

Doing Business As: FAMILY DRUG CENTER 3

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
214 BRIDGE ST
MANCHESTER, KY
ZIP 40962
Phone: (606) 598-6736
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SOUTHEASTERN FAMILY DRUG CENTER, INC is a pharmacy in Manchester, KY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTHEASTERN FAMILY DRUG CENTER, INC NPI is 1619037181. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Drug Center 3.

The provider's business location address is:

214 BRIDGE ST
MANCHESTER, KY
ZIP 40962-204
Phone: (606) 598-6736
Fax: (606) 599-0636

The provider's authorized official is Robert P Sparkman .
The authorized official title is Secretary and has the following contact phone number (606) 598-6736.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 3/4/2015.


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 SuppliesP01555KENTUCKYNo
2333600000XPharmacyP01555KENTUCKYYes

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
10616800001MEDICARE NSC
25401807200MEDICAIDKENTUCKY
390070269MEDICAIDKENTUCKY

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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