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
Phone: (812) 636-4600
Fax: (812) 636-8004
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952345159 | NPPES |
Indiana | MEDICAID | 100294700A | |
Indiana | Other | 2026659 |
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