Clearwater Pharmacy

LBN: Quier Pharmacy Llc
Clearwater Pharmacy is an health care organization with primary practice located at 130 E Ross St Ste 111 , Clearwater KS 67026-7833. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Quier Pharmacy Llc can be contacted via phone (620) 584-3784, or through Bradfield, Nancy Peterson via phone (785) 466-6810.

Contact Information

Primary practice address
130 E Ross St Ste 111 Clearwater KS 67026-7833
Fax: (620) 886-5517
Website:
Authorized official contact:
Name: Bradfield, Nancy Peterson

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2-13234 Kansas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1194185512
LBN Legal business name Quier Pharmacy Llc
DBA Doing business as Clearwater Pharmacy
Authorized official Bradfield, Nancy Peterson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Nov 22nd, 2021 - about 5 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 1194185512 NPPES
Other 2158321 PK
MEDICAID 201128690A PK

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