Indian Hills Pharmacy

LBN: Indian Hills Pharmacy
Indian Hills Pharmacy is an health care organization with primary practice located at 1551 Indian Hills Dr Ste 101, Sioux City IA 51104-1859. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Indian Hills Pharmacy can be contacted via phone (712) 255-9150, or through Simmonds, Wendell Wayne via phone (712) 255-9150.

Contact Information

Primary practice address
1551 Indian Hills Dr Ste 101 Sioux City IA 51104-1859
Phone: (712) 255-9150
Fax: (712) 255-2946
Website:
Map and Directions
Authorized official contact:
Name: Simmonds, Wendell Wayne RP
Phone: (712) 255-9150

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 260 Iowa

Profile Details

NPI number 1114095403
LBN Legal business name Indian Hills Pharmacy
DBA Doing business as
Authorized official Simmonds, Wendell Wayne RP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2006
Last updated Feb 5th, 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 1114095403 NPPES
Iowa MEDICAID 0142646

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