Clarks Rexall Drug Inc

LBN: Bama Inc
Clarks Rexall Drug Inc is an health care organization with primary practice located at 1214 Atlantic Ave , Benson MN 56215-1243. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bama Inc can be contacted via phone (320) 842-3221, or through Jungwirth, Barry via phone (320) 842-3221.

Contact Information

Primary practice address
1214 Atlantic Ave Benson MN 56215-1243
Fax: (320) 843-9974
Website:
Authorized official contact:
Name: Jungwirth, Barry

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 205959 Minnesota

Profile Details

NPI number 1710998224
LBN Legal business name Bama Inc
DBA Doing business as Clarks Rexall Drug Inc
Authorized official Jungwirth, Barry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 31st, 2010 - about 16 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 1710998224 NPPES
Other 2403614 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID MN142757100 NCPDP PROVIDER IDENTIFICATION NUMBER

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