Provider Demographics
NPI:1083750574
Name:HALMAN INC
Entity Type:Organization
Organization Name:HALMAN INC
Other - Org Name:PARKWAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MANIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-546-9435
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-0310
Mailing Address - Country:US
Mailing Address - Phone:606-546-3464
Mailing Address - Fax:606-546-4579
Practice Address - Street 1:726 S US HWY 25 E
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-0310
Practice Address - Country:US
Practice Address - Phone:606-546-3464
Practice Address - Fax:606-546-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY90100611332B00000X
KYP02047333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54022371Medicaid
KY90100611Medicaid
0703830001Medicare ID - Type Unspecified