New Athens Pharmacy

LBN: Groceries Of Southern Illinois Llc
New Athens Pharmacy is an health care organization with primary practice located at 901 Spotsylvania St , New Athens IL 62264-1569. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Groceries Of Southern Illinois Llc can be contacted via phone (618) 566-6843, or through Schneider, Bryan via phone (618) 539-5577.

Contact Information

Primary practice address
901 Spotsylvania St New Athens IL 62264-1569
Phone: (618) 566-6843
Fax: (618) 475-9219
Website:
Map and Directions
Authorized official contact:
Name: Schneider, Bryan PHARMD
Phone: (618) 539-5577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054018344 Illinois

Profile Details

NPI number 1841620960
LBN Legal business name Groceries Of Southern Illinois Llc
DBA Doing business as New Athens Pharmacy
Authorized official Schneider, Bryan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2013
Last updated Oct 15th, 2021 - about 3 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 1841620960 NPPES
Illinois MEDICAID 371239582001
Illinois Other 2143033

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