Scotts Drugs

LBN: Ernest & Susan L Roales
Scotts Drugs is an health care organization with primary practice located at 208 N Main St , Bridgeport IL 62417-1522. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ernest & Susan L Roales can be contacted via phone (618) 945-3701, or through Roales, Ernest via phone (618) 945-3701.

Contact Information

Primary practice address
208 N Main St Bridgeport IL 62417-1522
Phone: (618) 945-3701
Fax: (618) 945-3701
Website:
Map and Directions
Authorized official contact:
Name: Roales, Ernest RPH
Phone: (618) 945-3701

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054008755 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1346243672
LBN Legal business name Ernest & Susan L Roales
DBA Doing business as Scotts Drugs
Authorized official Roales, Ernest RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Feb 21st, 2017 - about 7 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 1346243672 NPPES
Other 2018808 PK

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