Merle Pharmacy No. 1, Inc.

LBN: Merle Pharmacy No. 1, Inc.
Merle Pharmacy No. 1, Inc. is an health care organization with primary practice located at 203 E Locust St Suite 1, Bloomington IL 61701-3077. 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. Merle Pharmacy No. 1, Inc. can be contacted via phone (309) 828-2242, or through Martin, William M. via phone (309) 828-2242.

Contact Information

Primary practice address
203 E Locust St Suite 1 Bloomington IL 61701-3077
Fax: (309) 827-4638
Website:
Authorized official contact:
Name: Martin, William M. R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054002430 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054002430 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X 054002430 Illinois

Profile Details

NPI number 1407815061
LBN Legal business name Merle Pharmacy No. 1, Inc.
DBA Doing business as
Authorized official Martin, William M. R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 2nd, 2024 - about 2 months 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 1407815061 NPPES
Illinois Other 1430925 NABP NUMBER
Illinois Other 054002430 NABP NUMBER
Illinois Other 032000672 NABP NUMBER

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