Bogard Drug No. 5, Inc.

LBN: Bogard Drug No. 5, Inc.
Bogard Drug No. 5, Inc. is an health care organization with primary practice located at 1102 S Western Ave , Peoria IL 61605-3356. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bogard Drug No. 5, Inc. can be contacted via phone (309) 637-4487, or through Nimmo, Annette T via phone (309) 637-4487.

Contact Information

Primary practice address
1102 S Western Ave Peoria IL 61605-3356
Phone: (309) 637-4487
Fax: (309) 637-9141
Website:
Map and Directions
Authorized official contact:
Name: Nimmo, Annette T
Phone: (309) 637-4487

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Illinois

Profile Details

NPI number 1578513834
LBN Legal business name Bogard Drug No. 5, Inc.
DBA Doing business as
Authorized official Nimmo, Annette T
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1578513834 NPPES
Illinois Other 1411191 NCPDP

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