Kimberling City Pharmacy, Inc.

LBN: Kimberling City Pharmacy, Inc.
Kimberling City Pharmacy, Inc. is an health care organization with primary practice located at 41 Kimberling City Center Lane , Kimberling City MO 65686-0908. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Kimberling City Pharmacy, Inc. can be contacted via phone (417) 739-2273, or through Johnson, Rudy via phone (417) 739-2273.

Contact Information

Primary practice address
41 Kimberling City Center Lane Kimberling City MO 65686-0908
Phone: (417) 739-2273
Fax: (417) 739-1706
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Rudy R. PH
Phone: (417) 739-2273

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 004551 Missouri

Profile Details

NPI number 1316043490
LBN Legal business name Kimberling City Pharmacy, Inc.
DBA Doing business as
Authorized official Johnson, Rudy R. PH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 6th, 2009 - about 17 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 1316043490 NPPES
Missouri MEDICAID KI602214603
Missouri Other 2622923

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