Grove Pharmacy South

LBN: Grove Professional Pharmacy Inc
Grove Pharmacy South is an health care organization with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. 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. Grove Professional Pharmacy Inc can be contacted via phone (417) 883-6800, or through Grove, Gary via phone (417) 881-2910.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 883-6800
Fax: (417) 883-3006
Website:
Map and Directions
Authorized official contact:
Name: Grove, Gary
Phone: (417) 881-2910

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 004562 Missouri
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1275615064
LBN Legal business name Grove Professional Pharmacy Inc
DBA Doing business as Grove Pharmacy South
Authorized official Grove, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Sep 19th, 2012 - about 14 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 1275615064 NPPES
Other 2623038 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 600309827 NCPDP PROVIDER IDENTIFICATION NUMBER

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