Plaza Pharmacy Inc

LBN: Plaza Pharmacy Inc
Plaza Pharmacy Inc is an health care organization with primary practice located at 828 Walnut St , Coffeyville KS 67337-5826. 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. Plaza Pharmacy Inc can be contacted via phone (620) 251-2050, or through Bauer, Richard via phone (620) 251-2050.

Contact Information

Primary practice address
828 Walnut St Coffeyville KS 67337-5826
Phone: (620) 251-2050
Fax: (620) 251-2051
Website:
Map and Directions
Authorized official contact:
Name: Bauer, Richard PHRM
Phone: (620) 251-2050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 205074 Kansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639245731
LBN Legal business name Plaza Pharmacy Inc
DBA Doing business as
Authorized official Bauer, Richard PHRM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 10th, 2007 - about 19 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 1639245731 NPPES
Kansas MEDICAID 100436840B
Kansas Other 1701879

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