Douglas Health Mart Pharmacy

LBN: Douglas Pharmacy Llc
Douglas Health Mart Pharmacy is an health care organization with primary practice located at 94 W 5Th St , Douglas AZ 85607-2851. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Douglas Pharmacy Llc can be contacted via phone (520) 364-2315, or through Shumaker, Greg via phone (520) 364-2315.

Contact Information

Primary practice address
94 W 5Th St Douglas AZ 85607-2851
Phone: (520) 364-2315
Fax: (520) 364-2318
Website:
Map and Directions
Authorized official contact:
Name: Shumaker, Greg
Phone: (520) 364-2315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Y004878 Arizona

Profile Details

NPI number 1083805261
LBN Legal business name Douglas Pharmacy Llc
DBA Doing business as Douglas Health Mart Pharmacy
Authorized official Shumaker, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 29th, 2011 - about 15 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 1083805261 NPPES
Other 0354895 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 290702 NCPDP PROVIDER IDENTIFICATION NUMBER

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