Active Lifestyle Pharmacy Llc

LBN: Active Lifestyle Pharmacy Llc
Active Lifestyle Pharmacy Llc is an health care organization with primary practice located at 7800 Foster St , Overland Park KS 66204-2955. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Active Lifestyle Pharmacy Llc can be contacted via phone (913) 730-8731, or through Lickteig, Jacob M via phone (785) 760-3839.

Contact Information

Primary practice address
7800 Foster St Overland Park KS 66204-2955
Phone: (913) 730-8731
Fax: (844) 842-0014
Website:
Map and Directions
Authorized official contact:
Name: Lickteig, Jacob M
Phone: (785) 760-3839

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1811536683
LBN Legal business name Active Lifestyle Pharmacy Llc
DBA Doing business as
Authorized official Lickteig, Jacob M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2019
Last updated Dec 27th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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