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Contact Information

MCHUGH DRUG STORE LLC
70 SOUTH MADISON ST
CARTHAGE, IL62321
 Phone: 217-257-2623
 Fax: 217-357-9515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MCHUGH DRUG STORE LLC

NPI # 1427124817
LBN Legal business name MCHUGH DRUG STORE LLC
Authorized official SAM KOLTA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 08/16/2018 - About 8 years ago
Identifiers
IL License # 054020158
IL Medicaid 364126894001
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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