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Contact Information

EBY DRUG STORE (LOGAN), INC
103 N 4TH AVE
LOGAN, IA51546
 Phone: 712-644-2160
 Fax: 712-644-2103
 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 EBY DRUG STORE (LOGAN), INC

NPI # 1821189366
LBN Legal business name EBY DRUG STORE (LOGAN), INC
Authorized official STEPHEN EBY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 05/12/2011 - About 15 years ago
Identifiers
IA License # 603
IA Medicaid 0079558
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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