Provider Demographics
NPI:1477587087
Name:NATURE TECHNOLOGIES INC
Entity Type:Organization
Organization Name:NATURE TECHNOLOGIES INC
Other - Org Name:PLAZA DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:606-864-4445
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40755-0190
Mailing Address - Country:US
Mailing Address - Phone:606-864-2600
Mailing Address - Fax:606-877-5330
Practice Address - Street 1:707 N LAUREL RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741
Practice Address - Country:US
Practice Address - Phone:606-864-2600
Practice Address - Fax:606-877-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171231332B00000X
KYP079943336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2033804OtherPK
KY90003658Medicaid
4347530001Medicare NSC
KY90003658Medicaid