Main At Locust Pharmacy

LBN: William Burke Ltd
Main At Locust Pharmacy is an health care organization with primary practice located at 129 West Locust , Davenport IA 52803. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. William Burke Ltd can be contacted via phone (563) 324-1641, or through Ploehn, Andrew via phone (563) 324-5004.

Contact Information

Primary practice address
129 West Locust Davenport IA 52803
Phone: (563) 324-1641
Fax: (563) 324-3005
Website:
Map and Directions
Authorized official contact:
Name: Ploehn, Andrew
Phone: (563) 324-5004

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Iowa
Suppliers / Clinic Pharmacy 3336C0002X 16D0922143 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X 774 Iowa

Profile Details

NPI number 1184781940
LBN Legal business name William Burke Ltd
DBA Doing business as Main At Locust Pharmacy
Authorized official Ploehn, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Feb 23rd, 2024 - about 10 months 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 1184781940 NPPES
Iowa Other 59654 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0069195 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0233577 BLUE CROSS BLUE SHIELD

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