St Lukes Pharmacy Winghaven

LBN: St Lukes Episcopal Presbyterian Hospital
St Lukes Pharmacy Winghaven is an health care organization with primary practice located at 5551 Winghaven Blvd Ste 120, O Fallon MO 63368-3617. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St Lukes Episcopal Presbyterian Hospital can be contacted via phone (636) 695-2555, or through Fook, Richard via phone (314) 205-6291.

Contact Information

Primary practice address
5551 Winghaven Blvd Ste 120 O Fallon MO 63368-3617
Fax: (636) 695-2556
Website:
Authorized official contact:
Name: Fook, Richard

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2008006746 Missouri

Profile Details

NPI number 1619968096
LBN Legal business name St Lukes Episcopal Presbyterian Hospital
DBA Doing business as St Lukes Pharmacy Winghaven
Authorized official Fook, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 12th, 2015 - about 11 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 1619968096 NPPES
Missouri MEDICAID 600567515
Missouri Other 2050270

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