Elliott Healthmart Pharmacy

LBN: Elliott Pharmacy Inc
Elliott Healthmart Pharmacy is an health care organization with primary practice located at 2120 N Baltimore St , Kirksville MO 63501-5109. 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. Elliott Pharmacy Inc can be contacted via phone (660) 665-9871, or through Nelson, Jeffrey via phone (660) 665-9871.

Contact Information

Primary practice address
2120 N Baltimore St Kirksville MO 63501-5109
Phone: (660) 665-9871
Fax: (660) 665-4332
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Jeffrey
Phone: (660) 665-9871

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 005972 Missouri

Profile Details

NPI number 1891700423
LBN Legal business name Elliott Pharmacy Inc
DBA Doing business as Elliott Healthmart Pharmacy
Authorized official Nelson, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 30th, 2012 - about 12 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 1891700423 NPPES
Missouri MEDICAID 600398804
Missouri Other 2608187

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