Citizens Memorial Outpatient Pharmacy

LBN: Citizens Memorial Hospital District
Citizens Memorial Outpatient Pharmacy is an health care organization with primary practice located at 1301-B North Oakland , Bolivar MO 65613. 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. Citizens Memorial Hospital District can be contacted via phone (417) 326-6003, or through Babb, Donald via phone (417) 326-6501.

Contact Information

Primary practice address
1301-B North Oakland Bolivar MO 65613
Fax: (417) 777-5806
Website:
Authorized official contact:
Name: Babb, Donald

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2002031104 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1053712109
LBN Legal business name Citizens Memorial Hospital District
DBA Doing business as Citizens Memorial Outpatient Pharmacy
Authorized official Babb, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2014
Last updated Nov 9th, 2015 - about 9 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 1053712109 NPPES
Other 2150441 PK

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