Walt'S Pharmacy #5

LBN: Walter Lagestee Incorporated
Walt'S Pharmacy #5 is an health care organization with primary practice located at 1218 Sheffield Ave , Dyer IN 46311-1053. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Walter Lagestee Incorporated can be contacted via phone (219) 865-4363, or through Egan, Patrick J via phone (708) 957-2974.

Contact Information

Primary practice address
1218 Sheffield Ave Dyer IN 46311-1053
Phone: (219) 865-4363
Fax: (219) 865-4365
Website:
Map and Directions
Authorized official contact:
Name: Egan, Patrick J PHARMACIST
Phone: (708) 957-2974

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60005711A Indiana

Profile Details

NPI number 1073698023
LBN Legal business name Walter Lagestee Incorporated
DBA Doing business as Walt'S Pharmacy #5
Authorized official Egan, Patrick J PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 16th, 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 1073698023 NPPES
Indiana MEDICAID 200422800

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