Organization
MANCHESTER DOWN HOME PHARMACY LLC
Active
Other names
Manchester Down Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL THIES (PRESIDENT)
(606) 216-2525
Entity
Organization
Contact information
Practice address
500 RICHMOND RD, MANCHESTER, KY 40962-1294
(606) 599-3500
(606) 599-9969
Mailing address
PO BOX 128, MANCHESTER, KY 40962-0128
(606) 599-3500
(606) 599-9969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163659
PK
—
Enumeration date
08/19/2016
Last updated
02/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us