Monticello Drug Inc

LBN: Monticello Drug Inc
Monticello Drug Inc is an health care organization with primary practice located at 109 W Gaines St , Monticello AR 71655-4717. 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 / Pharmacy is the primary health care specialty. Monticello Drug Inc can be contacted via phone (870) 367-6291, or through Koen, Donald via phone (870) 367-6291.

Contact Information

Primary practice address
109 W Gaines St Monticello AR 71655-4717
Phone: (870) 367-6291
Fax: (870) 367-2403
Website:
Map and Directions
Authorized official contact:
Name: Koen, Donald PD
Phone: (870) 367-6291

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X AR04804 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417021932
LBN Legal business name Monticello Drug Inc
DBA Doing business as
Authorized official Koen, Donald PD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1417021932 NPPES
Other 0404804 OTHER ID NUMBER-COMMERCIAL NUMBER

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