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ADIO PHARMACY DISTRIBUTION SERVICES NPI 1992710511


NPI Information

NPI: 1992710511
Provider Name: ADIO PHARMACY DISTRIBUTION SERVICES

Doing Business As: FOUR RIVERS PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
415 BROADWAY ST
PADUCAH, KY
ZIP 42001
Phone: (270) 538-0772
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ADIO PHARMACY DISTRIBUTION SERVICES is a long term care pharmacy pharmacy in Paducah, KY. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ADIO PHARMACY DISTRIBUTION SERVICES NPI is 1992710511. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Rivers Pharmacy.

The provider's business location address is:

415 BROADWAY ST
PADUCAH, KY
ZIP 42001-713
Phone: (270) 538-0772
Fax: (270) 538-0773

The provider's authorized official is Victor Swami .
The authorized official title is Owner and has the following contact phone number (270) 538-0772.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyP06845KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12034082OTHERPK
254004700MEDICAIDKENTUCKY

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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