Indian River Village Pharmacy Inc
LBN: Indian River Village Pharmacy Inc
Indian River Village Pharmacy Inc is an health care organization with primary practice located at 6433 Barbara St , Indian River MI 49749-9010. 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.
Indian River Village Pharmacy Inc can be contacted via phone (231) 238-8911, or through Bahra, Thomas via phone (231) 238-8911.
Contact Information
Primary practice address
6433 Barbara St
Indian River MI 49749-9010
Phone: (231) 238-8911
Fax: (231) 238-9190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301003394 | Michigan |
Profile Details
| NPI number | 1033203310 |
|---|---|
| LBN Legal business name | Indian River Village Pharmacy Inc |
| DBA Doing business as | Indian River Village Pharmacy Inc |
| Authorized official | Bahra, Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 5th, 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 | 1033203310 | NPPES |
| Other | 2042171 | PK | |
| MEDICAID | 2534918 | PK |
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