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
Fax: (812) 478-9296
Website:
Authorized official contact:
Name: Vencel, Ronald RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366546319 NPPES
Indiana MEDICAID 200334270A
Indiana Other 2024462

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