Selmer Drug Company

LBN: Robert D Mitchell
Selmer Drug Company is an health care organization with primary practice located at 133 W Court Ave , Selmer TN 38375-2130. 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. Robert D Mitchell can be contacted via phone (731) 645-5391, or through Mitchell, Robert via phone (731) 645-5591.

Contact Information

Primary practice address
133 W Court Ave Selmer TN 38375-2130
Phone: (731) 645-5391
Fax: (731) 645-5391
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Robert Doctor of Public Health (DPH)
Phone: (731) 645-5591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1107 Tennessee

Profile Details

NPI number 1376609255
LBN Legal business name Robert D Mitchell
DBA Doing business as Selmer Drug Company
Authorized official Mitchell, Robert Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Apr 25th, 2013 - about 11 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 1376609255 NPPES
Other 2096004 PK
MEDICAID 3519165 PK

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