Organization Name: | PAT'S PHARMACY, INC. |
NPI Number: | 1427141159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM PAT MATTINGLY (PRESIDENT, P.I.C.) |
Mailing Address: | 498 W. Main St. Lebanon |
State: | KY US |
Postal Code: | 400331362 |
Phone Number: | 2706924950 |
Fax Number: | 2706922320 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 10/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 90006735 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |