Medi Mart Pharmacy

LBN: Prime Pharmacy Inc
Medi Mart Pharmacy is an health care organization with primary practice located at 902 4Th St , Portsmouth OH 45662-4314. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prime Pharmacy Inc can be contacted via phone (740) 354-3291, or through Fankell, Raymond via phone (740) 354-3291.

Contact Information

Primary practice address
902 4Th St Portsmouth OH 45662-4314
Phone: (740) 354-3291
Fax: (740) 354-3292
Website:
Map and Directions
Authorized official contact:
Name: Fankell, Raymond RPH
Phone: (740) 354-3291

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RTP.020589200-02 Ohio

Profile Details

NPI number 1205847860
LBN Legal business name Prime Pharmacy Inc
DBA Doing business as Medi Mart Pharmacy
Authorized official Fankell, Raymond RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 1st, 2014 - about 10 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 1205847860 NPPES
Ohio MEDICAID 0738410
Ohio Other 2071105

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