Village Apothecary At Williamsburg

LBN: Village Apothecary At Williamsburg
Village Apothecary At Williamsburg is an health care organization with primary practice located at 1609 Lafayette Rd Rm 23 , Crawfordsville IN 47933-1032. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Village Apothecary At Williamsburg can be contacted via phone (765) 364-0363, or through Petricek, Joseph via phone (765) 364-0363.

Contact Information

Primary practice address
1609 Lafayette Rd Rm 23 Crawfordsville IN 47933-1032
Phone: (765) 364-0363
Fax: (765) 362-2436
Website:
Map and Directions
Authorized official contact:
Name: Petricek, Joseph Bachelor of Science in Public Health (BSPH)
Phone: (765) 364-0363

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 60006523A Indiana

Profile Details

NPI number 1043683568
LBN Legal business name Village Apothecary At Williamsburg
DBA Doing business as Village Apothecary At Williamsburg
Authorized official Petricek, Joseph Bachelor of Science in Public Health (BSPH)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2015
Last updated Sep 30th, 2016 - about 8 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 1043683568 NPPES
Indiana MEDICAID 201348390A
Indiana Other 2155103

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