<Unavail>

LBN: Rockers Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 304 Baptiste Dr , Paola KS 66071-1329. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rockers Pharmacy Inc can be contacted via phone (913) 294-2715, or through Rockers, Nathan via phone (913) 294-2715.

Contact Information

Primary practice address
304 Baptiste Dr Paola KS 66071-1329
Phone: (913) 294-2715
Fax: (913) 294-3666
Website:
Map and Directions
Authorized official contact:
Name: Rockers, Nathan
Phone: (913) 294-2715

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-13049 Kansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104053107
LBN Legal business name Rockers Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Rockers, Nathan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2009
Last updated Oct 24th, 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 1104053107 NPPES
Missouri MEDICAID 4322194
Missouri MEDICAID 1104053107
Missouri MEDICAID 1651591
Missouri MEDICAID 200613730A
Missouri MEDICAID 143825500
Missouri Other 2120693

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