Iron County Drug Store

LBN: C&P Viburnum Ventures Llc
Iron County Drug Store is an health care organization with primary practice located at 1 Viburnum Center Rd Ste B , Viburnum MO 65566-7802. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. C&P Viburnum Ventures Llc can be contacted via phone (573) 244-3784, or through Walters-Peace, Rebeca via phone (417) 778-6807.

Contact Information

Primary practice address
1 Viburnum Center Rd Ste B Viburnum MO 65566-7802
Phone: (573) 244-3784
Fax: (573) 244-3700
Website:
Map and Directions
Authorized official contact:
Name: Walters-Peace, Rebeca
Phone: (417) 778-6807

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2015037740 Missouri
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184092793
LBN Legal business name C&P Viburnum Ventures Llc
DBA Doing business as Iron County Drug Store
Authorized official Walters-Peace, Rebeca
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2015
Last updated Apr 27th, 2023 - about 3 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 1184092793 NPPES
Missouri MEDICAID 1184092793
Missouri Other 2154621
Missouri MEDICAID 600027013

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