Great Plains Compounding Ctr

LBN: Av Drug Acquisition Co
Great Plains Compounding Ctr is an health care organization with primary practice located at 11131 W 79Th St , Lenexa KS 66214-1482. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Av Drug Acquisition Co can be contacted via phone (913) 234-4664, or through Rellihan, Philip F via phone (913) 234-4664.

Contact Information

Primary practice address
11131 W 79Th St Lenexa KS 66214-1482
Phone: (913) 234-4664
Fax: (913) 234-4665
Website:
Map and Directions
Authorized official contact:
Name: Rellihan, Philip F RPH
Phone: (913) 234-4664

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X 209463 Kansas

Profile Details

NPI number 1891703914
LBN Legal business name Av Drug Acquisition Co
DBA Doing business as Great Plains Compounding Ctr
Authorized official Rellihan, Philip F RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 20th, 2012 - about 14 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 1891703914 NPPES
Other 1715260 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100434000A NCPDP PROVIDER IDENTIFICATION NUMBER

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