Clarks Mr Prescription

LBN: Mr Prescription Of Kettering Inc
Clarks Mr Prescription is an health care organization with primary practice located at 3081 Far Hills Ave , Kettering OH 45429-2509. 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. Mr Prescription Of Kettering Inc can be contacted via phone (937) 297-0596, or through Clark, Tim via phone (937) 428-7970.

Contact Information

Primary practice address
3081 Far Hills Ave Kettering OH 45429-2509
Fax: (937) 297-0598
Website:
Authorized official contact:
Name: Clark, Tim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021070350 Ohio

Profile Details

NPI number 1609975176
LBN Legal business name Mr Prescription Of Kettering Inc
DBA Doing business as Clarks Mr Prescription
Authorized official Clark, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 29th, 2011 - about 13 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 1609975176 NPPES
Other 3665330 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 2088762 NCPDP PROVIDER IDENTIFICATION NUMBER

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