<Unavail>

LBN: Missouri Ltc Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 6129 W Us Highway 60 , Brookline MO 65619-9441. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Missouri Ltc Pharmacy Llc can be contacted via phone (417) 708-5050, or through Ceriotti, Janice S via phone (314) 690-4500.

Contact Information

Primary practice address
6129 W Us Highway 60 Brookline MO 65619-9441
Phone: (417) 708-5050
Fax: (417) 708-5055
Website:
Map and Directions
Authorized official contact:
Name: Ceriotti, Janice S RPH
Phone: (314) 690-4500

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 2017040311 Missouri

Profile Details

NPI number 1003327537
LBN Legal business name Missouri Ltc Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Ceriotti, Janice S RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2017
Last updated Jun 5th, 2026 - about 4 months 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 1003327537 NPPES
Arkansas MEDICAID 242178407
Arkansas MEDICAID 600049471

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