Provider Demographics
NPI:1326125600
Name:FAMILY DRUGS, INC
Entity Type:Organization
Organization Name:FAMILY DRUGS, INC
Other - Org Name:FAMILY DRUG VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-358-4502
Mailing Address - Street 1:810 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47220-1200
Mailing Address - Country:US
Mailing Address - Phone:812-358-4502
Mailing Address - Fax:812-358-4503
Practice Address - Street 1:810 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:IN
Practice Address - Zip Code:47220-1200
Practice Address - Country:US
Practice Address - Phone:812-358-4502
Practice Address - Fax:812-358-4503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100297490A332B00000X
IN60004121A332BP3500X, 3336H0001X
IN60004121333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100297490AMedicaid
IN1509821OtherNABP
IN100297490AMedicaid