Northwest Mo Prc Pharmacy

LBN: State Of Missouri
Northwest Mo Prc Pharmacy is an health care organization with primary practice located at 3505 Frederick Ave , Saint Joseph MO 64506-2914. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. State Of Missouri can be contacted via phone (816) 387-2564, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
3505 Frederick Ave Saint Joseph MO 64506-2914
Phone: (816) 387-2564
Fax: (816) 387-2391
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1750420188
LBN Legal business name State Of Missouri
DBA Doing business as Northwest Mo Prc Pharmacy
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 5th, 2007
Last updated Sep 3rd, 2020 - about 6 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 1750420188 NPPES
Other 2614255 NCPDP

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