Organization
HUMMAS INC
Active
Other names
HUMMAS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARTIN (PHARMACIST)
(618) 524-4111
Entity
Organization
Contact information
Practice address
606 MARKET ST, METROPOLIS, IL 62960-1835
(618) 524-4111
(618) 524-4111
Mailing address
606 MARKET ST, METROPOLIS, IL 62960-1835
(618) 524-4111
(618) 524-4111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411216
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
03/09/2010
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