Fontanelle Drug

LBN: Bax Inc
Fontanelle Drug is an health care organization with primary practice located at 401 Washington St , Fontanelle IA 50846-9900. 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. Bax Inc can be contacted via phone (641) 745-3221, or through Bax, Kaye via phone (641) 745-2008.

Contact Information

Primary practice address
401 Washington St Fontanelle IA 50846-9900
Phone: (641) 745-3221
Fax: (641) 745-3221
Website:
Map and Directions
Authorized official contact:
Name: Bax, Kaye RPH
Phone: (641) 745-2008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 654 Iowa
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1992877518
LBN Legal business name Bax Inc
DBA Doing business as Fontanelle Drug
Authorized official Bax, Kaye RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jan 17th, 2017 - about 9 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 1992877518 NPPES
Other 2028010 PK
MEDICAID 0137844 PK

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