Easters Pharmacy

LBN: Easters Pharmacy
Easters Pharmacy is an health care organization with primary practice located at 1705 E 9Th St , Trenton MO 64683-2641. 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. Easters Pharmacy can be contacted via phone (660) 359-2216, or through Jennings, David via phone (660) 359-2216.

Contact Information

Primary practice address
1705 E 9Th St Trenton MO 64683-2641
Phone: (660) 359-2216
Fax: (660) 359-4593
Website:
Map and Directions
Authorized official contact:
Name: Jennings, David
Phone: (660) 359-2216

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 030019 Missouri

Profile Details

NPI number 1144347121
LBN Legal business name Easters Pharmacy
DBA Doing business as Easters Pharmacy
Authorized official Jennings, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jan 28th, 2010 - about 14 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 1144347121 NPPES
Other 2615271 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 600057905 NCPDP PROVIDER IDENTIFICATION NUMBER

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