Mt Ida Home Medical & Oxygen

LBN: Village Apothecary, Inc.
Mt Ida Home Medical & Oxygen is an health care organization with primary practice located at 136 S George Street , Mt Ida AR 71957. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Village Apothecary, Inc. can be contacted via phone (870) 867-0106, or through Butler, Michael D via phone (501) 922-0777.

Contact Information

Primary practice address
136 S George Street Mt Ida AR 71957
Phone: (870) 867-0106
Fax: (870) 867-0134
Website:
Map and Directions
Authorized official contact:
Name: Butler, Michael D PHARM D
Phone: (501) 922-0777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1518368562
LBN Legal business name Village Apothecary, Inc.
DBA Doing business as Mt Ida Home Medical & Oxygen
Authorized official Butler, Michael D PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - 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 1518368562 NPPES
Arkansas MEDICAID 119753716

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