Medicap Pharmacy
LBN: Dkm Pharmacy Inc
Medicap Pharmacy is an health care organization with primary practice located at 1200 W Main St , Marion IL 62959-1138. 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.
Dkm Pharmacy Inc can be contacted via phone (618) 997-2030, or through Miller, Tom via phone (618) 997-2030.
Contact Information
Primary practice address
1200 W Main St
Marion IL 62959-1138
Phone: (618) 997-2030
Fax: (618) 993-3565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 54014619 | Illinois |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1184718595 |
---|---|
LBN Legal business name | Dkm Pharmacy Inc |
DBA Doing business as | Medicap Pharmacy |
Authorized official | Miller, Tom RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1184718595 | NPPES |
Other | 1474256 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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