Provider Demographics
NPI:1144243056
Name:NATURE TECHNOLOGIES
Entity Type:Organization
Organization Name:NATURE TECHNOLOGIES
Other - Org Name:PARKWAY DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-330-0722
Mailing Address - Street 1:100 PROFESSIONAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-8844
Mailing Address - Country:US
Mailing Address - Phone:606-330-0722
Mailing Address - Fax:606-864-2122
Practice Address - Street 1:100 PROFESSIONAL DR STE 2
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-8844
Practice Address - Country:US
Practice Address - Phone:606-330-0722
Practice Address - Fax:606-864-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
KYP06916332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY900111719Medicaid
KY54006218Medicaid
KY900111719Medicaid