Jr Pharmacy Poplar Llc

LBN: Jr Pharmacy Poplar Llc
Jr Pharmacy Poplar Llc is an health care organization with primary practice located at 1101 Poplar St , Terre Haute IN 47807-4565. 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. Jr Pharmacy Poplar Llc can be contacted via phone (812) 235-7373, or through Vencel, Ronald via phone (812) 234-8305.

Contact Information

Primary practice address
1101 Poplar St Terre Haute IN 47807-4565
Phone: (812) 235-7373
Fax: (812) 478-0459
Website:
Map and Directions
Authorized official contact:
Name: Vencel, Ronald
Phone: (812) 234-8305

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60005675A Indiana

Profile Details

NPI number 1275637225
LBN Legal business name Jr Pharmacy Poplar Llc
DBA Doing business as Jr Pharmacy Poplar Llc
Authorized official Vencel, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 20th, 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 1275637225 NPPES
Indiana MEDICAID 200375570A
Indiana Other 2024532

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