Provider Demographics
NPI:1992781314
Name:DISBRO DRUGS INC
Entity type:Organization
Organization Name:DISBRO DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DISBRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-246-3421
Mailing Address - Street 1:2307 CYPRESS PT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-6775
Mailing Address - Country:US
Mailing Address - Phone:812-282-6275
Mailing Address - Fax:
Practice Address - Street 1:116 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1532
Practice Address - Country:US
Practice Address - Phone:812-246-3421
Practice Address - Fax:812-246-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60003038A333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy