Duesterberg Drug Co INC
Pharmacy, Community/Retail Pharmacy in Vincennes, IN. Organization (NPI-2).
Details
- NPI
- 1104896752
- Entity type
- Organization (NPI-2)
- Legal business name
- Duesterberg Drug Co INC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2006
- Last updated
- Dec 19, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 60000728A | IN | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Duesterberg Drug Co INC (Doing Business As)
Practice location
402 S 6th StVincennes, IN 47591-1023
Phone 812-882-6193 · Fax 812-882-6186
Mailing address
Po Box 116Vincennes, IN 47591-0116
Phone 812-882-6193 · Fax 812-882-6186
Authorized official
Clifton Cleveland
Owner
8128826193
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Community/Retail Pharmacy providers in Vincennes · All 930 providers in Vincennes
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