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Contact Information

AFTON PHARMACY STORE
1802 E 10TH ST
JEFFERSONVILLE, IN47130-6016
 Phone: 502-724-2018
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for AFTON PHARMACY STORE

NPI Number 1104417112
LBN Legal business name AFTON PHARMACY STORE
Authorized official BRENDA ROBERTSON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2021
Last updated 02/02/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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