Rusch'S Southside Pharmacy

LBN: Rusch Rx Inc
Rusch'S Southside Pharmacy is an health care organization with primary practice located at 1107 S 15Th St , Vincennes IN 47591-4223. 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. Rusch Rx Inc can be contacted via phone (812) 316-0079, or through Rusch, Travis via phone (812) 316-0079.

Contact Information

Primary practice address
1107 S 15Th St Vincennes IN 47591-4223
Phone: (812) 316-0079
Fax: (812) 316-0510
Website:
Map and Directions
Authorized official contact:
Name: Rusch, Travis
Phone: (812) 316-0079

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60006339A Indiana

Profile Details

NPI number 1780022780
LBN Legal business name Rusch Rx Inc
DBA Doing business as Rusch'S Southside Pharmacy
Authorized official Rusch, Travis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2013
Last updated Feb 20th, 2017 - about 7 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 1780022780 NPPES
Indiana MEDICAID 201165910 A
Indiana MEDICAID 201165910A
Indiana Other 2140731

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