<Unavail>

LBN: Doctor'S Pharmacy
<Unavail> is an health care organization with primary practice located at 2727 Highway Ave Pharmacy, Highland IN 46322-1615. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Doctor'S Pharmacy can be contacted via phone (219) 923-2520, or through Gortat, David Lee via phone (219) 923-2520.

Contact Information

Primary practice address
2727 Highway Ave Pharmacy Highland IN 46322-1615
Phone: (219) 923-2520
Fax: (219) 923-2701
Website:
Map and Directions
Authorized official contact:
Name: Gortat, David Lee R.PH.
Phone: (219) 923-2520

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 60004131A Indiana

Profile Details

NPI number 1164407441
LBN Legal business name Doctor'S Pharmacy
DBA Doing business as <Unavail>
Authorized official Gortat, David Lee R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Jan 18th, 2008 - about 18 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 1164407441 NPPES
Indiana MEDICAID 100298480A

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