Medicap Pharmacy
LBN: Mbrx Inc
Medicap Pharmacy is an health care organization with primary practice located at 1111 W Morton Ave , Jacksonville IL 62650-3165. 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.
Mbrx Inc can be contacted via phone (217) 245-1077, or through Barron, Martin R via phone (217) 245-1077.
Contact Information
Primary practice address
1111 W Morton Ave
Jacksonville IL 62650-3165
Phone: (217) 245-1077
Fax: (217) 245-0006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 054014047 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1629180567 |
|---|---|
| LBN Legal business name | Mbrx Inc |
| DBA Doing business as | Medicap Pharmacy |
| Authorized official | Barron, Martin R RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1629180567 | NPPES |
| Other | 1456765 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 3116317906265001 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 371239851001 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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