Alton Drug Store
LBN: C & P Alton Ventures Llc
Alton Drug Store is an health care organization with primary practice located at 201 State Hwy 19 , Alton MO 65606. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
C & P Alton Ventures Llc can be contacted via phone (417) 778-7000, or through Walters-Peace, Rebecca via phone (417) 778-6807.
Contact Information
Primary practice address
201 State Hwy 19
Alton MO 65606
Phone: (417) 778-7000
Fax: (417) 778-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2016031074 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1942756465 |
|---|---|
| LBN Legal business name | C & P Alton Ventures Llc |
| DBA Doing business as | Alton Drug Store |
| Authorized official | Walters-Peace, Rebecca |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 26th, 2016 |
| Last updated | Nov 24th, 2023 - about last year |
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 | 1942756465 | NPPES |
| Other | 2163778 | PK | |
| MEDICAID | 600035662 | PK |
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