<Unavail>

LBN: Ladue Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 9832 Clayton Rd , Saint Louis MO 63124-1604. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ladue Pharmacy Llc can be contacted via phone (314) 993-4031, or through Williams, Rick via phone (314) 993-4031.

Contact Information

Primary practice address
9832 Clayton Rd Saint Louis MO 63124-1604
Phone: (314) 993-4031
Fax: (314) 993-0306
Website:
Map and Directions
Authorized official contact:
Name: Williams, Rick
Phone: (314) 993-4031

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 6534 Missouri

Profile Details

NPI number 1306353354
LBN Legal business name Ladue Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Williams, Rick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2017
Last updated Jul 19th, 2018 - about 8 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 1306353354 NPPES
Missouri MEDICAID 600899900
Missouri Other 2175165

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