Heartland Family Pharmacy

LBN: Cgi Pharmacy Llc
Heartland Family Pharmacy is an health care organization with primary practice located at 1020 N Kingshighway St Ste A , Cape Girardeau MO 63701-3500. 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. Cgi Pharmacy Llc can be contacted via phone (573) 335-1002, or through Funk, Abraham T via phone (573) 334-1300.

Contact Information

Primary practice address
1020 N Kingshighway St Ste A Cape Girardeau MO 63701-3500
Phone: (573) 335-1002
Fax: (573) 335-8259
Website:
Map and Directions
Authorized official contact:
Name: Funk, Abraham T
Phone: (573) 334-1300

Health care specialties

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

Profile Details

NPI number 1457700627
LBN Legal business name Cgi Pharmacy Llc
DBA Doing business as Heartland Family Pharmacy
Authorized official Funk, Abraham T
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Feb 18th, 2022 - about 2 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 1457700627 NPPES
Missouri MEDICAID 602663106

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