Kinkead Pharmacy, Inc.

LBN: Kinkead Pharmacy, Inc.
Kinkead Pharmacy, Inc. is an health care organization with primary practice located at 105 S Allen St , Centralia MO 65240-1303. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kinkead Pharmacy, Inc. can be contacted via phone (573) 682-2155, or through Kinkead, Wendy S via phone (573) 682-2155.

Contact Information

Primary practice address
105 S Allen St Centralia MO 65240-1303
Phone: (573) 682-2155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kinkead, Wendy S
Phone: (573) 682-2155

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 041845 Missouri

Profile Details

NPI number 1033255179
LBN Legal business name Kinkead Pharmacy, Inc.
DBA Doing business as
Authorized official Kinkead, Wendy S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 29th, 2024 - about last year

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 1033255179 NPPES
Missouri MEDICAID 600050702

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