Advanced Healthcare Pharmacy I

LBN: Advanced Healthcare Management Services, Llc
Advanced Healthcare Pharmacy I is an health care organization with primary practice located at 2002 Kanell Blvd Suite 102, Poplar Bluff MO 63901-4045. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Advanced Healthcare Management Services, Llc can be contacted via phone (573) 778-1608, or through Harris, Paula E. via phone (573) 778-0020.

Contact Information

Primary practice address
2002 Kanell Blvd Suite 102 Poplar Bluff MO 63901-4045
Phone: (573) 778-1608
Fax: (573) 778-1645
Website:
Map and Directions
Authorized official contact:
Name: Harris, Paula E.
Phone: (573) 778-0020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2002010186 Missouri

Profile Details

NPI number 1477518355
LBN Legal business name Advanced Healthcare Management Services, Llc
DBA Doing business as Advanced Healthcare Pharmacy I
Authorized official Harris, Paula E.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 18th, 2010 - about 14 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 1477518355 NPPES
Missouri MEDICAID 605768605

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