Pleasant Hill Drug Store
LBN: Pleasant Hill Drug Store Inc
Pleasant Hill Drug Store is an health care organization with primary practice located at 1905 N State Route 7 , Pleasant Hill MO 64080-9366. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pleasant Hill Drug Store Inc can be contacted via phone (816) 540-4000, or through Defever, Alan via phone (913) 515-0462.
Contact Information
Primary practice address
1905 N State Route 7
Pleasant Hill MO 64080-9366
Phone: (816) 540-4000
Fax: (816) 540-4341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2002009963 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1518956093 |
|---|---|
| LBN Legal business name | Pleasant Hill Drug Store Inc |
| DBA Doing business as | Pleasant Hill Drug Store |
| Authorized official | Defever, Alan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Apr 12th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518956093 | NPPES |
| Missouri | MEDICAID | 628237802 | |
| Missouri | MEDICAID | 608237806 | |
| Missouri | Other | 2048807 |
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