Beckwith Pharmacy
LBN: Mark Jay Beckwith
Beckwith Pharmacy is an health care organization with primary practice located at 107 N Lincoln Dr Ste 204, Troy MO 63379-1315. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mark Jay Beckwith can be contacted via phone (636) 528-8462, or through Beckwith, Mark via phone (636) 462-6655.
Contact Information
Primary practice address
107 N Lincoln Dr Ste 204
Troy MO 63379-1315
Phone: (636) 528-8462
Fax: (636) 462-6655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3220 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1619902343 |
|---|---|
| LBN Legal business name | Mark Jay Beckwith |
| DBA Doing business as | Beckwith Pharmacy |
| Authorized official | Beckwith, Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 7th, 2016 - about 9 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 | 1619902343 | NPPES |
| Other | 2049617 | PK | |
| MEDICAID | 600657803MO | PK |
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