Pratt'S Pharmacy

LBN: Pratt'S Rexall Drugs, Inc
Pratt'S Pharmacy is an health care organization with primary practice located at 100 Dwayne Von Behren Dr , New Haven MO 63068-3207. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pratt'S Rexall Drugs, Inc can be contacted via phone (573) 237-3321, or through Willimann, Craig Neal via phone (573) 237-3321.

Contact Information

Primary practice address
100 Dwayne Von Behren Dr New Haven MO 63068-3207
Phone: (573) 237-3321
Fax: (573) 237-2005
Website:
Map and Directions
Authorized official contact:
Name: Willimann, Craig Neal R. PH.
Phone: (573) 237-3321

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 000129 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 000129 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X 129 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174622278
LBN Legal business name Pratt'S Rexall Drugs, Inc
DBA Doing business as Pratt'S Pharmacy
Authorized official Willimann, Craig Neal R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 27th, 2022 - about 4 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 1174622278 NPPES
Missouri MEDICAID 600447007
Missouri MEDICAID 620447003

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