Nessen Pharmacy

LBN: Corydon Pharmacy Inc
Nessen Pharmacy is an health care organization with primary practice located at 104 S Franklin St , Corydon IA 50060-1518. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Corydon Pharmacy Inc can be contacted via phone (641) 872-2512, or through Nessen, Mark via phone (641) 872-2512.

Contact Information

Primary practice address
104 S Franklin St Corydon IA 50060-1518
Fax: (641) 872-1078
Website:
Authorized official contact:
Name: Nessen, Mark

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 595 Iowa

Profile Details

NPI number 1336132588
LBN Legal business name Corydon Pharmacy Inc
DBA Doing business as Nessen Pharmacy
Authorized official Nessen, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 16th, 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 1336132588 NPPES
Missouri MEDICAID 602208407
Missouri MEDICAID 085902
Missouri Other 1605469

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