Baptist Healthcare Affiliates, NPI 1063542082
Pharmacy in Lagrange, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063542082
NPI Entity Type Organization
Provider Name Baptist Healthcare Affiliates
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1025 New Moody Ln, Lagrange, KY, US
Provider Mailing Address 1025 New Moody Ln, Lagrange, KY, US, 400319154
Is Sole Proprietor? No
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Organization Official

Official Name MR. Dennis Johnson
Official Position ADMINISTRATOR
Phone 502-222-3329

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. P05196
License State KY
Description 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.

Other Organization Name

Baptist Hospital Northeast Pharmacy
Doing Business As

Business Address

Baptist Healthcare Affiliates
1025 New Moody Ln

Lagrange, KY, US

Phone: 502-222-3362
Fax: 502-222-8684

Mailing Address

Baptist Healthcare Affiliates
1025 New Moody Ln
Lagrange, KY, US
ZIP 400319154
Phone: 502-222-3362
Fax: 502-222-8684

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
54029285 KY MEDICAID 05
1817660 KY NCPDP 01

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PA-C Brittney R. Judhan

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MD Brett E Jarrell

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DO John M Fleming

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