Roberts Pba Drug Store

LBN: Roberts Pba Drug Store
Roberts Pba Drug Store is an health care organization with primary practice located at 112 8Th St , Baldwin City KS 66006-4149. 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. Roberts Pba Drug Store can be contacted via phone (785) 594-6867, or through Roberts, Gary via phone (785) 594-6711.

Contact Information

Primary practice address
112 8Th St Baldwin City KS 66006-4149
Phone: (785) 594-6867
Fax: (785) 594-3883
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Gary
Phone: (785) 594-6711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 209755 Kansas

Profile Details

NPI number 1598877441
LBN Legal business name Roberts Pba Drug Store
DBA Doing business as Roberts Pba Drug Store
Authorized official Roberts, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598877441 NPPES
Kansas MEDICAID 100443660A
Kansas Other 2030679

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