Organization
INSTITUTIONAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY FORCHT (OWNER)
(606) 528-9600
Entity
Organization
Contact information
Practice address
108 E 6TH ST, CORBIN, KY 40701-1422
(606) 528-9600
(606) 528-3853
Mailing address
PO BOX 1450, CORBIN, KY 40702-1450
(606) 528-9600
(606) 528-3873
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
P06791
KY
333600000X
Pharmacy
P06791
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334951
ANTHEM BCBS KY
KY
01
—
0007732614
AETNA
KY
01
—
001639570
BCBS HIGHMARK
KY
05
—
90008483
—
KY
Enumeration date
08/12/2005
Last updated
05/24/2014
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