Mineral Pharmacy Inc

LBN: Mineral Pharmacy Inc
Mineral Pharmacy Inc is an health care organization with primary practice located at 207 River St , Superior MT 59872-9673. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mineral Pharmacy Inc can be contacted via phone (406) 822-4681, or through Burnett, David via phone (406) 822-4681.

Contact Information

Primary practice address
207 River St Superior MT 59872-9673
Phone: (406) 822-4681
Fax: (406) 822-0057
Website:
Map and Directions
Authorized official contact:
Name: Burnett, David
Phone: (406) 822-4681

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 49935 Montana

Profile Details

NPI number 1871695213
LBN Legal business name Mineral Pharmacy Inc
DBA Doing business as Mineral Pharmacy Inc
Authorized official Burnett, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 19th, 2018 - about 8 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 1871695213 NPPES
Montana MEDICAID 1871695213
Montana Other 2050377

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