Medical Center Pharmacy

LBN: Osage Pharmacy, Llc
Medical Center Pharmacy is an health care organization with primary practice located at 513B Grand Ave , Doniphan MO 63935-1405. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Osage Pharmacy, Llc can be contacted via phone (573) 996-3784, or through Kleinbeck, Mark T via phone (573) 778-6804.

Contact Information

Primary practice address
513B Grand Ave Doniphan MO 63935-1405
Phone: (573) 996-3784
Fax: (573) 996-5275
Website:
Map and Directions
Authorized official contact:
Name: Kleinbeck, Mark T RPH
Phone: (573) 778-6804

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 623809308 Missouri

Profile Details

NPI number 1285774828
LBN Legal business name Osage Pharmacy, Llc
DBA Doing business as Medical Center Pharmacy
Authorized official Kleinbeck, Mark T RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 7th, 2023 - about 3 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 1285774828 NPPES
Missouri Other 2637051 NCPDP
Missouri MEDICAID 603809302 NCPDP

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