Organization
HEALTHLINE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY LONG (VP)
(386) 698-3737
Entity
Organization
Contact information
Practice address
102 W MAIN ST, SUITE B, WARSAW, KY 41095
(859) 567-1772
(859) 567-1773
Mailing address
102 W MAIN ST, SUITE B, WARSAW, KY 41095
(859) 567-1772
(859) 567-1773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P06850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145032201
—
TX
01
—
229794
BCBS
KY
Enumeration date
02/23/2007
Last updated
04/23/2008
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