Dekalb Health Pharmacare
LBN: Dekalb Memorial Pharmacare Llc
Dekalb Health Pharmacare is an health care organization with primary practice located at 1314 E 7Th St Ste 104 , Auburn IN 46706-2533. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dekalb Memorial Pharmacare Llc can be contacted via phone (260) 925-8000, or through Polkow, Craig via phone (260) 925-4600.
Contact Information
Primary practice address
1314 E 7Th St Ste 104
Auburn IN 46706-2533
Phone: (260) 925-8000
Fax: (260) 925-9500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 60006238A | Indiana |
Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
NPI number | 1720126295 |
---|---|
LBN Legal business name | Dekalb Memorial Pharmacare Llc |
DBA Doing business as | Dekalb Health Pharmacare |
Authorized official | Polkow, Craig |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 4th, 2007 |
Last updated | Aug 15th, 2016 - about 8 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 | 1720126295 | NPPES |
Other | 2129458 | PK | |
MEDICAID | 10029410A | PK |
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