Provider Demographics
NPI:1235160284
Name:H & N DRUG INC
Entity Type:Organization
Organization Name:H & N DRUG INC
Other - Org Name:H AND N DRUG INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:606-598-5025
Mailing Address - Street 1:515 MEMORIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-9157
Mailing Address - Country:US
Mailing Address - Phone:606-598-5025
Mailing Address - Fax:606-598-0007
Practice Address - Street 1:515 MEMORIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-9157
Practice Address - Country:US
Practice Address - Phone:606-598-5025
Practice Address - Fax:606-598-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
KYP07627333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2029205OtherPK
KY54013784Medicaid
KY54013784Medicaid
0743990001Medicare NSC