Organization
MED-MART PHARMACY LLC
Active
Other names
MED-MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SIZEMORE (PRESIDENT)
(606) 878-1200
Entity
Organization
Contact information
Practice address
87 C V B DR, LONDON, KY 40741-1096
(606) 878-1200
(606) 878-1214
Mailing address
87 CVB DR, LONDON, KY 40741
(606) 878-1200
(606) 878-1214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07400
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831913
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100120850
—
KY
Enumeration date
06/15/2010
Last updated
01/10/2011
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