Stadium Pharmacy

LBN: Ivna Pharmacy Services Llc
Stadium Pharmacy is an health care organization with primary practice located at 1741 Ne Douglas St Ste 102 , Lees Summit MO 64086-4704. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ivna Pharmacy Services Llc can be contacted via phone (636) 544-4525, or through Anneboina, Vikranth K via phone (636) 544-4525.

Contact Information

Primary practice address
1741 Ne Douglas St Ste 102 Lees Summit MO 64086-4704
Phone: (636) 544-4525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anneboina, Vikranth K
Phone: (636) 544-4525

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2017040100 Missouri

Profile Details

NPI number 1265945216
LBN Legal business name Ivna Pharmacy Services Llc
DBA Doing business as Stadium Pharmacy
Authorized official Anneboina, Vikranth K
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2017
Last updated Jun 16th, 2018 - about 7 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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