Organization
WERNER DRUG CO. INC.
Active
Other names
Werner Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD N HARTH R.PH. (PRESIDENT)
(812) 547-5586
Entity
Organization
Contact information
Practice address
1134 WASHINGTON ST, TELL CITY, IN 47586-1827
(812) 547-5586
(812) 547-4368
Mailing address
1134 WASHINGTON ST, TELL CITY, IN 47586-1827
(812) 547-5586
(812) 547-4368
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
100150400A
IN
3336C0003X
Community/Retail Pharmacy
Primary
100150400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150400A
—
IN
01
—
1500532
NCPDP
IN
05
—
54000971
—
KY
05
—
90002353
—
KY
Enumeration date
05/05/2006
Last updated
01/07/2010
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