Odon Pharmacy

LBN: Odon Pharmacy Llc
Odon Pharmacy is an health care organization with primary practice located at 200 W Main St , Odon IN 47562-1218. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Odon Pharmacy Llc can be contacted via phone (812) 636-4600, or through Holland, Kenneth via phone (812) 636-4600.

Contact Information

Primary practice address
200 W Main St Odon IN 47562-1218
Fax: (812) 636-8004
Website:
Authorized official contact:
Name: Holland, Kenneth RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60003675A Indiana
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1952345159
LBN Legal business name Odon Pharmacy Llc
DBA Doing business as Odon Pharmacy
Authorized official Holland, Kenneth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 27th, 2015 - about 9 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 1952345159 NPPES
Indiana MEDICAID 100294700A
Indiana Other 2026659

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