Kirksville Pharmacy
LBN: Kb Kirksville Pharmacy Llc
Kirksville Pharmacy is an health care organization with primary practice located at 1611 S Baltimore St , Kirksville MO 63501-4518. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kb Kirksville Pharmacy Llc can be contacted via phone (660) 956-7010, or through Timmermann, Tracy via phone (417) 876-3313.
Contact Information
Primary practice address
1611 S Baltimore St
Kirksville MO 63501-4518
Phone: (660) 956-7010
Fax: (660) 956-7015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2016029935 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1134579923 |
|---|---|
| LBN Legal business name | Kb Kirksville Pharmacy Llc |
| DBA Doing business as | Kirksville Pharmacy |
| Authorized official | Timmermann, Tracy RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Apr 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134579923 | NPPES |
| Other | 2160612 | PK | |
| MEDICAID | 600035560 | PK |
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