Mustang Drug

LBN: Mustang Drug Inc
Mustang Drug is an health care organization with primary practice located at 704 C South Hwy 59 , Anderson MO 64831. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mustang Drug Inc can be contacted via phone (417) 845-7799, or through Thorton, Michael via phone (417) 845-7799.

Contact Information

Primary practice address
704 C South Hwy 59 Anderson MO 64831
Phone: (417) 845-7799
Fax: (417) 845-7797
Website:
Map and Directions
Authorized official contact:
Name: Thorton, Michael
Phone: (417) 845-7799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1999140201 Missouri

Profile Details

NPI number 1225142292
LBN Legal business name Mustang Drug Inc
DBA Doing business as Mustang Drug
Authorized official Thorton, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225142292 NPPES
Missouri MEDICAID 604754101
Missouri Other 2048293

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