Vans Pharmacy
LBN: Vans Iga Of Dillon Inc
Vans Pharmacy is an health care organization with primary practice located at 110 Southside Blvd , Dillon MT 59725-3536. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vans Iga Of Dillon Inc can be contacted via phone (406) 988-7121, or through Rebish, Bonnie via phone (406) 988-7121.
Contact Information
Primary practice address
110 Southside Blvd
Dillon MT 59725-3536
Phone: (406) 988-7121
Fax: (406) 683-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAPHRLIC14805 | Montana |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1073853941 |
|---|---|
| LBN Legal business name | Vans Iga Of Dillon Inc |
| DBA Doing business as | Vans Pharmacy |
| Authorized official | Rebish, Bonnie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2013 |
| Last updated | Feb 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073853941 | NPPES |
| Other | 2139191 | PK | |
| MEDICAID | 610084 | PK |
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