Carroll County Mem Hosp Phcy

LBN: Carroll Cnty Mem Hosp Pharmacy Inc
Carroll County Mem Hosp Phcy is an health care organization with primary practice located at 1502 N Jefferson St , Carrollton MO 64633-1948. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Carroll Cnty Mem Hosp Pharmacy Inc can be contacted via phone (660) 542-1695, or through Dover, Jerry via phone (660) 542-1695.

Contact Information

Primary practice address
1502 N Jefferson St Carrollton MO 64633-1948
Phone: (660) 542-1695
Fax: (660) 542-0363
Website:
Map and Directions
Authorized official contact:
Name: Dover, Jerry
Phone: (660) 542-1695

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 21044 Missouri
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1942316708
LBN Legal business name Carroll Cnty Mem Hosp Pharmacy Inc
DBA Doing business as Carroll County Mem Hosp Phcy
Authorized official Dover, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942316708 NPPES
Other 2623266 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0909150 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers