Great Plains Compounding Ctr
LBN: Av Drug Acquisition Co
Great Plains Compounding Ctr is an health care organization with primary practice located at 11131 W 79Th St , Lenexa KS 66214-1482. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Av Drug Acquisition Co can be contacted via phone (913) 234-4664, or through Rellihan, Philip F via phone (913) 234-4664.
Contact Information
Primary practice address
11131 W 79Th St
Lenexa KS 66214-1482
Phone: (913) 234-4664
Fax: (913) 234-4665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 209463 | Kansas |
Profile Details
| NPI number | 1891703914 |
|---|---|
| LBN Legal business name | Av Drug Acquisition Co |
| DBA Doing business as | Great Plains Compounding Ctr |
| Authorized official | Rellihan, Philip F RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Apr 20th, 2012 - about 12 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 | 1891703914 | NPPES |
| Other | 1715260 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100434000A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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