Healthcare Provider Details
I. General information
NPI: 1477587087
Provider Name (Legal Business Name): NATURE TECHNOLOGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
707 N LAUREL RD
LONDON KY
40741
US
IV. Provider business mailing address
PO BOX 190
PITTSBURG KY
40755-0190
US
V. Phone/Fax
- Phone: 606-864-2600
- Fax: 606-877-5330
- Phone: 606-864-2600
- Fax: 606-877-5330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | P07994 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | P07994 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 171231 |
| License Number State | KY |
VIII. Authorized Official
Name:
BRIAN
E
BILL
Title or Position: PRESIDENT/OWNER
Credential: PHARMD
Phone: 606-864-4445