<Unavail>
LBN: Heartland Pharmacy 2 Llc
<Unavail> is an health care organization with primary practice located at 2749 W Alex Bell Rd , Moraine OH 45459-1123. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Heartland Pharmacy 2 Llc can be contacted via phone (937) 395-3690, or through Ghussin, Kindy via phone (937) 829-1012.
Contact Information
Primary practice address
2749 W Alex Bell Rd
Moraine OH 45459-1123
Phone: (937) 395-3690
Fax: (937) 395-3694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 022243550 | Ohio |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1083964787 |
|---|---|
| LBN Legal business name | Heartland Pharmacy 2 Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Ghussin, Kindy RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Feb 25th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083964787 | NPPES |
| Other | 2137123 | PK | |
| MEDICAID | 0073255 | PK |
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