GREAT RIVER PHARMACY LLC NPI 1407589427

NPI Information

  • NPI: 1407589427
  • Provider Name: GREAT RIVER PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 18D2271379
  • Address: 2009 S 7TH ST
    HICKMAN, KY
    ZIP 42050
  • Phone: (270) 236-2588

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NPI Details

GREAT RIVER PHARMACY LLC is a community/retail pharmacy pharmacy in Hickman, KY. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GREAT RIVER PHARMACY LLC NPI is 1407589427. The provider is registered as an organization entity type.

The provider's business location address is:

2009 S 7TH ST
HICKMAN, KY
ZIP 42050-841
Phone: (270) 236-2588

The provider's authorized official is Andrew Logsdon .
The authorized official title is Member and has the following contact phone number (270) 564-4612.

The CLIA number assigned to this NPI record is 18D2271379 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2022 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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