Price Chopper Pharmacy #405

LBN: Cosentino Group Inc
Price Chopper Pharmacy #405 is an health care organization with primary practice located at 120 E 19Th St , Ottawa KS 66067-4300. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cosentino Group Inc can be contacted via phone (785) 242-4649, or through Wolff, Frank via phone (913) 749-1511.

Contact Information

Primary practice address
120 E 19Th St Ottawa KS 66067-4300
Phone: (785) 242-4649
Fax: (785) 242-2401
Website:
Map and Directions
Authorized official contact:
Name: Wolff, Frank
Phone: (913) 749-1511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-13239 Kansas

Profile Details

NPI number 1508211020
LBN Legal business name Cosentino Group Inc
DBA Doing business as Price Chopper Pharmacy #405
Authorized official Wolff, Frank
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated Jul 8th, 2016 - 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 1508211020 NPPES
Kansas MEDICAID 100444140C
Kansas Other 2159889

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