Pembers Drug

LBN: Pembers Drug Inc
Pembers Drug is an health care organization with primary practice located at 1415 Main St , Rock Valley IA 51247-1223. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pembers Drug Inc can be contacted via phone (712) 476-5379, or through Pember, Paul via phone (712) 476-5379.

Contact Information

Primary practice address
1415 Main St Rock Valley IA 51247-1223
Fax: (712) 476-5547
Website:
Authorized official contact:
Name: Pember, Paul

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 545 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1265447874
LBN Legal business name Pembers Drug Inc
DBA Doing business as Pembers Drug
Authorized official Pember, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 26th, 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 1265447874 NPPES
Other 1607158 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0081653 OTHER ID NUMBER-COMMERCIAL NUMBER

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