Affinia Healthcare Pharmacy

LBN: Affinia Healthcare
Affinia Healthcare Pharmacy is an health care organization with primary practice located at 1717 Biddle St , Saint Louis MO 63106-3454. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Affinia Healthcare can be contacted via phone (314) 814-8638, or through Freeman, Alan via phone (314) 814-8511.

Contact Information

Primary practice address
1717 Biddle St Saint Louis MO 63106-3454
Fax: (314) 814-8643
Website:
Authorized official contact:
Name: Freeman, Alan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 2005037282 Missouri

Profile Details

NPI number 1093731945
LBN Legal business name Affinia Healthcare
DBA Doing business as Affinia Healthcare Pharmacy
Authorized official Freeman, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 27th, 2021 - about 3 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 1093731945 NPPES
Missouri MEDICAID 600400709
Missouri Other 2049150

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