Mills Drug Store

LBN: Jeraben Inc
Mills Drug Store is an health care organization with primary practice located at 1000 E 4Th St , Owensboro KY 42303-3323. 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. Jeraben Inc can be contacted via phone (270) 683-1571, or through Franey, William via phone (270) 683-1571.

Contact Information

Primary practice address
1000 E 4Th St Owensboro KY 42303-3323
Fax: (270) 926-4619
Website:
Authorized official contact:
Name: Franey, William RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P06639 Kentucky

Profile Details

NPI number 1467531137
LBN Legal business name Jeraben Inc
DBA Doing business as Mills Drug Store
Authorized official Franey, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 15th, 2011 - about 13 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 1467531137 NPPES
Other 1807669 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 54002191 NCPDP PROVIDER IDENTIFICATION NUMBER

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