Medical Park 11 Pharmacy

LBN: Parkview Hospital, Inc.
Medical Park 11 Pharmacy is an health care organization with primary practice located at 11104 Parkview Circle Drive , Fort Wayne IN 46845-1704. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Parkview Hospital, Inc. can be contacted via phone (260) 266-4545, or through Wickens, Jeanne via phone (260) 266-9313.

Contact Information

Primary practice address
11104 Parkview Circle Drive Fort Wayne IN 46845-1704
Fax: (260) 266-4549
Website:
Authorized official contact:
Name: Wickens, Jeanne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 60000294A Indiana

Profile Details

NPI number 1942428420
LBN Legal business name Parkview Hospital, Inc.
DBA Doing business as Medical Park 11 Pharmacy
Authorized official Wickens, Jeanne
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 16th, 2019 - 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 1942428420 NPPES
Other 1536119 NCPDP
MEDICAID 100470980A NCPDP

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