Countryside Pharmacy

LBN: Anne M Barr Enterprises, Llc
Countryside Pharmacy is an health care organization with primary practice located at 402 E Price Ave , Savannah MO 64485-1742. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Anne M Barr Enterprises, Llc can be contacted via phone (816) 324-5111, or through Barr, Anne Marie via phone (816) 324-5111.

Contact Information

Primary practice address
402 E Price Ave Savannah MO 64485-1742
Fax: (816) 324-5163
Website:
Authorized official contact:
Name: Barr, Anne Marie RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 2001024920 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1730174616
LBN Legal business name Anne M Barr Enterprises, Llc
DBA Doing business as Countryside Pharmacy
Authorized official Barr, Anne Marie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Jan 25th, 2016 - about 8 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 1730174616 NPPES
Missouri Other 870023629 PALMETTO GBA - RAILROAD MEDICARE
Missouri MEDICAID 625380902 PALMETTO GBA - RAILROAD MEDICARE
Missouri MEDICAID 353841901 PALMETTO GBA - RAILROAD MEDICARE
Missouri MEDICAID 353841919 PALMETTO GBA - RAILROAD MEDICARE
Missouri Other 31124013 PALMETTO GBA - RAILROAD MEDICARE
Missouri MEDICAID 605380906 PALMETTO GBA - RAILROAD MEDICARE
Missouri Other 2634144 PALMETTO GBA - RAILROAD MEDICARE
Missouri Other 9004152 PALMETTO GBA - RAILROAD MEDICARE

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