Jr Pharmacy
LBN: Jr Scripts Pharmacy No 1 Llc
Jr Pharmacy is an health care organization with primary practice located at 2902 Poplar St , Terre Haute IN 47803-2661. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jr Scripts Pharmacy No 1 Llc can be contacted via phone (812) 478-1006, or through Vencel, Ronald via phone (812) 234-8305.
Contact Information
Primary practice address
2902 Poplar St
Terre Haute IN 47803-2661
Phone: (812) 478-1006
Fax: (812) 478-9296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60005617A | Indiana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1366546319 |
|---|---|
| LBN Legal business name | Jr Scripts Pharmacy No 1 Llc |
| DBA Doing business as | Jr Pharmacy |
| Authorized official | Vencel, Ronald RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Nov 21st, 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 | 1366546319 | NPPES |
| Indiana | MEDICAID | 200334270A | |
| Indiana | Other | 2024462 |
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