St Johns Drug

LBN: Western Drug Inc
St Johns Drug is an health care organization with primary practice located at 1155 W Cleveland , St Johns AZ 85936. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Western Drug Inc can be contacted via phone (928) 337-2229, or through Harper, Fred via phone (928) 333-2916.

Contact Information

Primary practice address
1155 W Cleveland St Johns AZ 85936
Phone: (928) 337-2229
Fax: (928) 337-2500
Website:
Map and Directions
Authorized official contact:
Name: Harper, Fred RPH
Phone: (928) 333-2916

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y003477 Arizona

Profile Details

NPI number 1780786186
LBN Legal business name Western Drug Inc
DBA Doing business as St Johns Drug
Authorized official Harper, Fred RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Jun 13th, 2016 - about 10 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 1780786186 NPPES
Other 1997484 PK
MEDICAID 618887 PK

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