Petersburg Rexall Drug Inc

LBN: Petersburg Rexall Drug Inc
Petersburg Rexall Drug Inc is an health care organization with primary practice located at 215 N Nordic Dr , Petersburg AK 99833-1208. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Petersburg Rexall Drug Inc can be contacted via phone (907) 772-3265, or through Kowalski, Catherine via phone (907) 772-3265.

Contact Information

Primary practice address
215 N Nordic Dr Petersburg AK 99833-1208
Phone: (907) 772-3265
Fax: (907) 772-3165
Website:
Map and Directions
Authorized official contact:
Name: Kowalski, Catherine RPL
Phone: (907) 772-3265

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR46 Alaska
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1750415295
LBN Legal business name Petersburg Rexall Drug Inc
DBA Doing business as Petersburg Rexall Drug Inc
Authorized official Kowalski, Catherine RPL
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 20th, 2016 - about 8 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 1750415295 NPPES
Other 1996439 PK
MEDICAID DH0046 PK

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