Gasaway Pba Pharmacy

LBN: Gasaway Pba Pharmacy
Gasaway Pba Pharmacy is an health care organization with primary practice located at 104 Jungermann Rd , Saint Peters MO 63376-1608. 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 / Pharmacy is the primary health care specialty. Gasaway Pba Pharmacy can be contacted via phone (636) 928-1550, or through Shipley, Robert via phone (636) 928-1550.

Contact Information

Primary practice address
104 Jungermann Rd Saint Peters MO 63376-1608
Phone: (636) 928-1550
Fax: (636) 447-7168
Website:
Map and Directions
Authorized official contact:
Name: Shipley, Robert
Phone: (636) 928-1550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5437 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1427131416
LBN Legal business name Gasaway Pba Pharmacy
DBA Doing business as
Authorized official Shipley, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1427131416 NPPES
Other 2619863 OTHER ID NUMBER-COMMERCIAL NUMBER

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