Good Graces Pharmacy

LBN: Good Graces
Good Graces Pharmacy is an health care organization with primary practice located at 857 E Main St Ste 3 , Willow Springs MO 65793-1500. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Good Graces can be contacted via phone (417) 855-1085, or through Gregory, Brandon via phone (417) 855-1085.

Contact Information

Primary practice address
857 E Main St Ste 3 Willow Springs MO 65793-1500
Phone: (417) 855-1085
Fax: (417) 855-1086
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Brandon
Phone: (417) 855-1085

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174273114
LBN Legal business name Good Graces
DBA Doing business as Good Graces Pharmacy
Authorized official Gregory, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2022
Last updated Jul 24th, 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 1174273114 NPPES
Other 1265033534 NPI
MEDICAID 600092646 NPI

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