Shipshewana Pharmacy

LBN: Anderson Healthcare Inc
Shipshewana Pharmacy is an health care organization with primary practice located at 350 S Van Buren St Ste F , Shipshewana IN 46565-9197. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Anderson Healthcare Inc can be contacted via phone (260) 768-4433, or through Anderson, David L via phone (260) 768-4433.

Contact Information

Primary practice address
350 S Van Buren St Ste F Shipshewana IN 46565-9197
Fax: (260) 768-4033
Website:
Authorized official contact:
Name: Anderson, David L PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60006400B Indiana
Suppliers / Compounding Pharmacy 3336C0004X 60006400B Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X 60006400B Indiana

Profile Details

NPI number 1891199295
LBN Legal business name Anderson Healthcare Inc
DBA Doing business as Shipshewana Pharmacy
Authorized official Anderson, David L PHARM.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 14th, 2014
Last updated Oct 14th, 2014 - about 10 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 1891199295 NPPES
Indiana Other 60006400B INDIANA PHARMACY LICENSE

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