Olson'S Modern Drug Co.

LBN: Olson'S Modern Drug Co.
Olson'S Modern Drug Co. is an health care organization with primary practice located at 762 Washington St , Montpelier ID 83254-1422. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Olson'S Modern Drug Co. can be contacted via phone (208) 847-0536, or through Olson, Harold A via phone (208) 847-0536.

Contact Information

Primary practice address
762 Washington St Montpelier ID 83254-1422
Phone: (208) 847-0536
Fax: (208) 847-1578
Website:
Map and Directions
Authorized official contact:
Name: Olson, Harold A
Phone: (208) 847-0536

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 476CP Idaho

Profile Details

NPI number 1083684906
LBN Legal business name Olson'S Modern Drug Co.
DBA Doing business as
Authorized official Olson, Harold A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 18th, 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 1083684906 NPPES
Idaho MEDICAID 002683500

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