Medicap Pharmacy

LBN: Union County Pharmacy Inc
Medicap Pharmacy is an health care organization with primary practice located at 1785 E Vienna St , Anna IL 62906-2039. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Union County Pharmacy Inc can be contacted via phone (618) 833-9858, or through Brymer, Larry D via phone (618) 833-9858.

Contact Information

Primary practice address
1785 E Vienna St Anna IL 62906-2039
Fax: (618) 833-3858
Website:
Authorized official contact:
Name: Brymer, Larry D RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 54014758 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1366510166
LBN Legal business name Union County Pharmacy Inc
DBA Doing business as Medicap Pharmacy
Authorized official Brymer, Larry D RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 18th, 2022 - about 4 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 1366510166 NPPES
Other 1475195 OTHER ID NUMBER-COMMERCIAL NUMBER

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