Home Care Pharmacy Ltc

LBN: Alton Memorial Hospital
Home Care Pharmacy Ltc is an health care organization with primary practice located at 1 Memorial Dr , Alton IL 62002-6722. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Alton Memorial Hospital can be contacted via phone (618) 463-7610, or through Mueller, Kelly via phone (618) 463-7425.

Contact Information

Primary practice address
1 Memorial Dr Alton IL 62002-6722
Phone: (618) 463-7610
Fax: (618) 463-7722
Website:
Map and Directions
Authorized official contact:
Name: Mueller, Kelly
Phone: (618) 463-7425

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 054017172 Illinois

Profile Details

NPI number 1972525970
LBN Legal business name Alton Memorial Hospital
DBA Doing business as Home Care Pharmacy Ltc
Authorized official Mueller, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 1st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972525970 NPPES
Other 1466843 NCPDP PROVIDER IDENTIFICATION NUMBER

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