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Contact Information

WARREN DRUG STORE, INC.
137 EAST MAIN STREET
WARREN, IL61087
 Phone: 815-745-3700
 Fax: 815-745-3663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WARREN DRUG STORE, INC.

NPI # 1942388038
LBN Legal business name WARREN DRUG STORE, INC.
Authorized official KARRIE SABINSON - (OWNER/PHARMD)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI Medicaid 33271100
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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