Healthcare Provider Details

I. General information

NPI: 1144243056
Provider Name (Legal Business Name): NATURE TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PROFESSIONAL DR STE 2
LONDON KY
40741-8844
US

IV. Provider business mailing address

100 PROFESSIONAL DR STE 2
LONDON KY
40741-8844
US

V. Phone/Fax

Practice location:
  • Phone: 606-330-0722
  • Fax: 606-864-2122
Mailing address:
  • Phone: 606-330-0722
  • Fax: 606-864-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP06916
License Number StateKY

VIII. Authorized Official

Name: MARY K HODGE
Title or Position: PHARMACY TECHNICIAN
Credential:
Phone: 606-330-0722