Altamont Pharmacy Inc
LBN: Altamont Pharmacy Inc
Altamont Pharmacy Inc is an health care organization with primary practice located at 12 N 3Rd St , Altamont IL 62411-1408. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Altamont Pharmacy Inc can be contacted via phone (618) 483-5614, or through Phillips, Doug via phone (618) 483-5614.
Contact Information
Primary practice address
12 N 3Rd St
Altamont IL 62411-1408
Phone: (618) 483-5614
Fax: (618) 483-3425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054008775 | Illinois |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 054008775 | Illinois |
Profile Details
| NPI number | 1164472304 |
|---|---|
| LBN Legal business name | Altamont Pharmacy Inc |
| DBA Doing business as | Altamont Pharmacy Inc |
| Authorized official | Phillips, Doug |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Aug 8th, 2016 - about 10 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 | 1164472304 | NPPES |
| Other | 2018826 | PK |
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