Ash Grove Pharmacy
LBN: Ash Grove Pharmacy Inc
Ash Grove Pharmacy is an health care organization with primary practice located at 490 N Medical Dr , Ash Grove MO 65604-1004. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ash Grove Pharmacy Inc can be contacted via phone (417) 751-2111, or through Grove, Whitney via phone (417) 751-2111.
Contact Information
Primary practice address
490 N Medical Dr
Ash Grove MO 65604-1004
Phone: (417) 751-2111
Fax: (417) 751-3112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 004465 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1053425025 |
|---|---|
| LBN Legal business name | Ash Grove Pharmacy Inc |
| DBA Doing business as | Ash Grove Pharmacy |
| Authorized official | Grove, Whitney |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053425025 | NPPES |
| Missouri | MEDICAID | 601689003 |
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