Propharm Rx Inc

LBN: Propharm Rx Inc
Propharm Rx Inc is an health care organization with primary practice located at 115 S Macoupin St , Gillespie IL 62033-1516. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Propharm Rx Inc can be contacted via phone (217) 839-3233, or through Sullivan, Maurice via phone (217) 839-2909.

Contact Information

Primary practice address
115 S Macoupin St Gillespie IL 62033-1516
Phone: (217) 839-3233
Fax: (217) 839-3233
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Maurice
Phone: (217) 839-2909

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1306102728
LBN Legal business name Propharm Rx Inc
DBA Doing business as Propharm Rx Inc
Authorized official Sullivan, Maurice
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2012
Last updated Apr 11th, 2012 - about 14 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 1306102728 NPPES
Other 1486617 NCPDP PROVIDER IDENTIFICATION NUMBER

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