Valparaiso Professional Pharmacy
LBN: Valparasio Professional Pharmacy, P.C.
Valparaiso Professional Pharmacy is an health care organization with primary practice located at 3540 Calumet Ave , Valparaiso IN 46383-2246. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Valparasio Professional Pharmacy, P.C. can be contacted via phone (219) 462-1484, or through Vandertuin, Elton L via phone (219) 462-1484.
Contact Information
Primary practice address
3540 Calumet Ave
Valparaiso IN 46383-2246
Phone: (219) 462-1484
Fax: (219) 465-4199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 60006597 | Indiana |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Pharmacy | 333600000X | 60006597 | Indiana |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60005539A | Indiana |
Profile Details
| NPI number | 1184736027 |
|---|---|
| LBN Legal business name | Valparasio Professional Pharmacy, P.C. |
| DBA Doing business as | Valparaiso Professional Pharmacy |
| Authorized official | Vandertuin, Elton L RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 15th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184736027 | NPPES |
| Indiana | MEDICAID | 100300380 | |
| Indiana | Other | 2025017 |
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