<Unavail>

LBN: Med Resources Retail, Llc
<Unavail> is an health care organization with primary practice located at 15464 Olive Boulevard Suite 200, Chesterfield MO 63017-1719. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Med Resources Retail, Llc can be contacted via phone (636) 530-4500, or through Braun, Jeff via phone (636) 733-7200.

Contact Information

Primary practice address
15464 Olive Boulevard Suite 200 Chesterfield MO 63017-1719
Phone: (636) 530-4500
Fax: (636) 530-4577
Website:
Map and Directions
Authorized official contact:
Name: Braun, Jeff
Phone: (636) 733-7200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1235124165
LBN Legal business name Med Resources Retail, Llc
DBA Doing business as <Unavail>
Authorized official Braun, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Feb 18th, 2021 - about 5 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 1235124165 NPPES
Missouri MEDICAID 626238505

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