Super Saver Pharmacy #12

LBN: B & R Stores, Inc
Super Saver Pharmacy #12 is an health care organization with primary practice located at 1141 N Broadway , Council Bluffs IA 51503-1513. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. B & R Stores, Inc can be contacted via phone (712) 322-9019, or through Schmid, Anthony Leo via phone (402) 464-6297.

Contact Information

Primary practice address
1141 N Broadway Council Bluffs IA 51503-1513
Phone: (712) 322-9019
Fax: (712) 325-9731
Website:
Map and Directions
Authorized official contact:
Name: Schmid, Anthony Leo PHARMD
Phone: (402) 464-6297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 972 Iowa

Profile Details

NPI number 1376659078
LBN Legal business name B & R Stores, Inc
DBA Doing business as Super Saver Pharmacy #12
Authorized official Schmid, Anthony Leo PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 9th, 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 1376659078 NPPES
Iowa MEDICAID 0094664

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