Faulkton Drug

LBN: R Thomas Bartholomew
Faulkton Drug is an health care organization with primary practice located at 118 8Th Ave S , Faulkton SD 57438-2115. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. R Thomas Bartholomew can be contacted via phone (605) 598-4187, or through Bartholomew, Robert Thomas via phone (605) 598-4187.

Contact Information

Primary practice address
118 8Th Ave S Faulkton SD 57438-2115
Fax: (605) 598-6772
Website:
Authorized official contact:
Name: Bartholomew, Robert Thomas

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1000009 South Dakota
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 1000009 South Dakota

Profile Details

NPI number 1104931146
LBN Legal business name R Thomas Bartholomew
DBA Doing business as Faulkton Drug
Authorized official Bartholomew, Robert Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 15th, 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 1104931146 NPPES
Other 4301280 OTHER ID NUMBER
Other 4301280 OTHER ID NUMBER
MEDICAID 8501540 OTHER ID NUMBER

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