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DUESTERBERG DRUG CO INC NPI 1104896752


NPI Information

NPI: 1104896752
Provider Name: DUESTERBERG DRUG CO INC

Doing Business As: DUESTERBERG DRUG CO INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
402 S 6TH ST
VINCENNES, IN
ZIP 47591
Phone: (812) 882-6193
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DUESTERBERG DRUG CO INC is a community/retail pharmacy pharmacy in Vincennes, IN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DUESTERBERG DRUG CO INC NPI is 1104896752. The provider is registered as an organization entity type.
The provider Is Doing Business As Duesterberg Drug Co Inc.

The provider's business location address is:

402 S 6TH ST
VINCENNES, IN
ZIP 47591-023
Phone: (812) 882-6193
Fax: (812) 882-6186

The provider's authorized official is Clifton Cleveland .
The authorized official title is Owner and has the following contact phone number (812) 882-6193.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 12/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy60000728AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100309350MEDICAIDINDIANA
20720570001MEDICARE NSC
31514454OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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