Independent Rx Long Term Care

LBN: Clarks Rx Llc
Independent Rx Long Term Care is an health care organization with primary practice located at 922 Senate Dr , Centerville OH 45459-4017. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Clarks Rx Llc can be contacted via phone (937) 610-3051, or through Clark, Timothy via phone (937) 610-3051.

Contact Information

Primary practice address
922 Senate Dr Centerville OH 45459-4017
Phone: (937) 610-3051
Fax: (937) 610-3048
Website:
Map and Directions
Authorized official contact:
Name: Clark, Timothy
Phone: (937) 610-3051

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 021907400 Ohio

Profile Details

NPI number 1154574010
LBN Legal business name Clarks Rx Llc
DBA Doing business as Independent Rx Long Term Care
Authorized official Clark, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2008
Last updated Nov 3rd, 2021 - about 5 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 1154574010 NPPES
Other 2117533 PK

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