Hometown Pharmacy #4

LBN: Carthage Pharmacy Services Inc
Hometown Pharmacy #4 is an health care organization with primary practice located at 606 E Mount Vernon Blvd , Mount Vernon MO 65712-9100. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Carthage Pharmacy Services Inc can be contacted via phone (417) 466-2000, or through Vaughn, Charles Davin via phone (417) 461-7777.

Contact Information

Primary practice address
606 E Mount Vernon Blvd Mount Vernon MO 65712-9100
Phone: (417) 466-2000
Fax: (417) 466-2028
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Charles Davin RPH
Phone: (417) 461-7777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2004011847 Missouri

Profile Details

NPI number 1063513398
LBN Legal business name Carthage Pharmacy Services Inc
DBA Doing business as Hometown Pharmacy #4
Authorized official Vaughn, Charles Davin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Nov 14th, 2022 - 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 1063513398 NPPES
Missouri MEDICAID 601917503

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