Provider Demographics
NPI:1205020211
Name:PHARMBOY INVESTMENTS LLC
Entity Type:Organization
Organization Name:PHARMBOY INVESTMENTS LLC
Other - Org Name:SAVE RITE DRUGS, BRANDENBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:270-422-2422
Mailing Address - Street 1:PO BOX 455
Mailing Address - Street 2:
Mailing Address - City:BRANDENBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40108-1745
Mailing Address - Country:US
Mailing Address - Phone:270-422-2422
Mailing Address - Fax:270-422-3299
Practice Address - Street 1:1230 HIGH ST
Practice Address - Street 2:
Practice Address - City:BRANDENBURG
Practice Address - State:KY
Practice Address - Zip Code:40108-1517
Practice Address - Country:US
Practice Address - Phone:270-422-2422
Practice Address - Fax:270-422-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPO72113336C0003X, 3336C0003X
KYP07211332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY710015530Medicaid
KY710015530Medicaid