Bruner Drugs

LBN: Bruner Drugs, Inc.
Bruner Drugs is an health care organization with primary practice located at 102 S Main St , Carl Junction MO 64834. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bruner Drugs, Inc. can be contacted via phone (417) 649-7021, or through Botts, Jerry via phone (417) 649-7021.

Contact Information

Primary practice address
102 S Main St Carl Junction MO 64834
Phone: (417) 649-7021
Fax: (417) 649-6269
Website:
Map and Directions
Authorized official contact:
Name: Botts, Jerry
Phone: (417) 649-7021

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 005892 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1629025127
LBN Legal business name Bruner Drugs, Inc.
DBA Doing business as Bruner Drugs
Authorized official Botts, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jul 24th, 2018 - about 8 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 1629025127 NPPES
Other 2049616 PK
MEDICAID 600282917 PK

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