Optimum Wellness Pharmacy

LBN: Haywood Rx Llc
Optimum Wellness Pharmacy is an health care organization with primary practice located at 8900 Ruffian Ln , Newburgh IN 47630-3424. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Haywood Rx Llc can be contacted via phone (812) 518-3428, or through Haywood, Mark via phone (812) 518-3428.

Contact Information

Primary practice address
8900 Ruffian Ln Newburgh IN 47630-3424
Phone: (812) 518-3428
Fax: (812) 518-3430
Website:
Map and Directions
Authorized official contact:
Name: Haywood, Mark
Phone: (812) 518-3428

Health care specialties

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

Profile Details

NPI number 1811360100
LBN Legal business name Haywood Rx Llc
DBA Doing business as Optimum Wellness Pharmacy
Authorized official Haywood, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2015
Last updated Mar 31st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811360100 NPPES
Other 2156160 PK

Popular Providers