<Unavail>

LBN: Panacea Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 2424 S Walnut St , Bloomington IN 47401-7730. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Panacea Pharmacy Inc can be contacted via phone (812) 287-8884, or through Anderson, Joshua via phone (812) 276-5782.

Contact Information

Primary practice address
2424 S Walnut St Bloomington IN 47401-7730
Phone: (812) 287-8884
Fax: (812) 287-8921
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Joshua
Phone: (812) 276-5782

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60006429A Indiana
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1265823926
LBN Legal business name Panacea Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Anderson, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2015
Last updated Apr 20th, 2017 - about 9 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 1265823926 NPPES
Indiana MEDICAID 201282000A
Indiana Other 2150437

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