Irwin Drug Inc.

LBN: Irwin Drug Inc.
Irwin Drug Inc. is an health care organization with primary practice located at 146 W Main St , Grangeville ID 83530-1932. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Irwin Drug Inc. can be contacted via phone (208) 983-1090, or through Jungert, Chad Guy via phone (208) 983-1090.

Contact Information

Primary practice address
146 W Main St Grangeville ID 83530-1932
Phone: (208) 983-1090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jungert, Chad Guy
Phone: (208) 983-1090

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2081CP Idaho

Profile Details

NPI number 1386820314
LBN Legal business name Irwin Drug Inc.
DBA Doing business as
Authorized official Jungert, Chad Guy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
Last updated May 7th, 2008 - about 17 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 1386820314 NPPES
Idaho MEDICAID 807496800
Idaho Other 807496700

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