Butler Pharmacy

LBN: Butler Pharmacy Inc
Butler Pharmacy is an health care organization with primary practice located at 11 S Orange St , Butler MO 64730-1805. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Butler Pharmacy Inc can be contacted via phone (660) 679-4175, or through Childers, Dave via phone (660) 679-4175.

Contact Information

Primary practice address
11 S Orange St Butler MO 64730-1805
Phone: (660) 679-4175
Fax: (660) 679-6088
Website:
Map and Directions
Authorized official contact:
Name: Childers, Dave
Phone: (660) 679-4175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 003510 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1326041336
LBN Legal business name Butler Pharmacy Inc
DBA Doing business as Butler Pharmacy
Authorized official Childers, Dave
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Mar 13th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326041336 NPPES
Kansas MEDICAID 100438870A
Kansas MEDICAID 60074470
Kansas Other 2613467

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