Mulconreys Apothecary

LBN: Mulconreys Apothecary
Mulconreys Apothecary is an health care organization with primary practice located at 113 W 3Rd St , Beardstown IL 62618-1142. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mulconreys Apothecary can be contacted via phone (217) 323-4422, or through Mulconrey, Mark via phone (217) 323-4422.

Contact Information

Primary practice address
113 W 3Rd St Beardstown IL 62618-1142
Fax: (217) 323-4480
Website:
Authorized official contact:
Name: Mulconrey, Mark

Health care specialties

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

Profile Details

NPI number 1730283789
LBN Legal business name Mulconreys Apothecary
DBA Doing business as
Authorized official Mulconrey, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1730283789 NPPES
Other 1443821 OTHER ID NUMBER-COMMERCIAL NUMBER

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