Clark County Pharmacy Inc

LBN: Clark County Pharmacy Inc
Clark County Pharmacy Inc is an health care organization with primary practice located at 250 S Johnson St , Kahoka MO 63445-1635. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Clark County Pharmacy Inc can be contacted via phone (660) 727-2214, or through Mckee, Anthony via phone (660) 727-2214.

Contact Information

Primary practice address
250 S Johnson St Kahoka MO 63445-1635
Phone: (660) 727-2214
Fax: (660) 727-2764
Website:
Map and Directions
Authorized official contact:
Name: Mckee, Anthony
Phone: (660) 727-2214

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1255806774
LBN Legal business name Clark County Pharmacy Inc
DBA Doing business as
Authorized official Mckee, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 14th, 2021 - about 3 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 1255806774 NPPES
Missouri MEDICAID 600119309

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