Affinia Healthcare Pharmacy

LBN: Affinia Healthcare
Affinia Healthcare Pharmacy is an health care organization with primary practice located at 2220 Lemp Ave , Saint Louis MO 63104-2700. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Affinia Healthcare can be contacted via phone (314) 814-8570, or through Freeman, Alan via phone (314) 814-8511.

Contact Information

Primary practice address
2220 Lemp Ave Saint Louis MO 63104-2700
Phone: (314) 814-8570
Fax: (314) 814-8590
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Alan
Phone: (314) 814-8511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 2006004264 Missouri

Profile Details

NPI number 1134134745
LBN Legal business name Affinia Healthcare
DBA Doing business as Affinia Healthcare Pharmacy
Authorized official Freeman, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 27th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134134745 NPPES
Missouri MEDICAID 600400717
Missouri Other 2049151

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