Deaconess Family Pharmacy
LBN: Deaconess Hospital Inc
Deaconess Family Pharmacy is an health care organization with primary practice located at 600 Mary St , Evansville IN 47710-1658. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Deaconess Hospital Inc can be contacted via phone (812) 450-3784, or through Fite, Thomas via phone (812) 450-3780.
Contact Information
Primary practice address
600 Mary St
Evansville IN 47710-1658
Phone: (812) 450-3784
Fax: (812) 450-3781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Institutional Pharmacy | 3336I0012X | 60001691A | Indiana |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1740550334 |
|---|---|
| LBN Legal business name | Deaconess Hospital Inc |
| DBA Doing business as | Deaconess Family Pharmacy |
| Authorized official | Fite, Thomas R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2012 |
| Last updated | Dec 14th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740550334 | NPPES |
| Other | 2133261 | PK | |
| MEDICAID | 201054000A | PK |
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