<Unavail>
LBN: Prescription Shop, Inc
<Unavail> is an health care organization with primary practice located at 601 W 11Th St , Coffeyville KS 67337-5025. 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.
Prescription Shop, Inc can be contacted via phone (620) 251-1620, or through Defever, Alan via phone (913) 515-0462.
Contact Information
Primary practice address
601 W 11Th St
Coffeyville KS 67337-5025
Phone: (620) 251-1620
Fax: (620) 251-4730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 209131 | Kansas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1619966272 |
|---|---|
| LBN Legal business name | Prescription Shop, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Defever, Alan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Apr 11th, 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 | 1619966272 | NPPES |
| Kansas | MEDICAID | 100434720B | |
| Kansas | MEDICAID | 100434720A | |
| Kansas | Other | 2030507 |
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