<Unavail>

LBN: Landrum Drug Inc
<Unavail> is an health care organization with primary practice located at 106 E Mount Vernon Blvd , Mount Vernon MO 65712-2040. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Landrum Drug Inc can be contacted via phone (417) 461-1100, or through Freitas, Jill via phone (417) 461-1100.

Contact Information

Primary practice address
106 E Mount Vernon Blvd Mount Vernon MO 65712-2040
Fax: (417) 461-1103
Website:
Authorized official contact:
Name: Freitas, Jill RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2008012584 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1821264433
LBN Legal business name Landrum Drug Inc
DBA Doing business as <Unavail>
Authorized official Freitas, Jill RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2008
Last updated Jul 7th, 2022 - about 4 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 1821264433 NPPES
Missouri MEDICAID 1821264433
Missouri Other 2049640

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