Dailymed Pharmacy

LBN: Prairestone Pharmacy Llc
Dailymed Pharmacy is an health care organization with primary practice located at 9320 Priority Way West Dr , Indianapolis IN 46240-1468. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prairestone Pharmacy Llc can be contacted via phone (317) 573-0045, or through Middendorf, Matt via phone (317) 569-8234.

Contact Information

Primary practice address
9320 Priority Way West Dr Indianapolis IN 46240-1468
Fax: (317) 573-0206
Website:
Authorized official contact:
Name: Middendorf, Matt

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60006165A Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1235388356
LBN Legal business name Prairestone Pharmacy Llc
DBA Doing business as Dailymed Pharmacy
Authorized official Middendorf, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2008
Last updated Mar 15th, 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 1235388356 NPPES
Ohio MEDICAID 2878186
Ohio Other 1562378

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