Phoenix Home Care Pharmacy

LBN: Community Care Pharmacy, Llc
Phoenix Home Care Pharmacy is an health care organization with primary practice located at 617 N Cowling St Ste H , Desloge MO 63601-3176. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Community Care Pharmacy, Llc can be contacted via phone (833) 321-4479, or through Thompson, Kellie via phone (833) 321-4479.

Contact Information

Primary practice address
617 N Cowling St Ste H Desloge MO 63601-3176
Fax: (573) 436-0630
Website:
Authorized official contact:
Name: Thompson, Kellie RPH

Health care specialties

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

Profile Details

NPI number 1528570785
LBN Legal business name Community Care Pharmacy, Llc
DBA Doing business as Phoenix Home Care Pharmacy
Authorized official Thompson, Kellie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2017
Last updated Jan 14th, 2024 - about 10 months 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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