Physician'S Plaza Pharmacy

LBN: Decatur Memorial Hospital
Physician'S Plaza Pharmacy is an health care organization with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Decatur Memorial Hospital can be contacted via phone (217) 876-6252, or through Welch, Steven via phone (217) 876-6252.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Phone: (217) 876-6252
Fax: (217) 876-6215
Website:
Map and Directions
Authorized official contact:
Name: Welch, Steven RPH
Phone: (217) 876-6252

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054011351 Illinois

Profile Details

NPI number 1609879097
LBN Legal business name Decatur Memorial Hospital
DBA Doing business as Physician'S Plaza Pharmacy
Authorized official Welch, Steven RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated May 23rd, 2013 - 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 1609879097 NPPES
Other 2017369 PK

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