Nyberg Pharmacy 2461
LBN: Evans Drugs Buffalo Llc
Nyberg Pharmacy 2461 is an health care organization with primary practice located at 315 S Ash St , Buffalo MO 65622-8705. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Evans Drugs Buffalo Llc can be contacted via phone (417) 345-2321, or through Timmermann, Tracy via phone (417) 876-3313.
Contact Information
Primary practice address
315 S Ash St
Buffalo MO 65622-8705
Phone: (417) 345-2321
Fax: (417) 345-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1427480995 |
|---|---|
| LBN Legal business name | Evans Drugs Buffalo Llc |
| DBA Doing business as | Nyberg Pharmacy 2461 |
| Authorized official | Timmermann, Tracy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2013 |
| Last updated | Feb 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427480995 | NPPES |
| Missouri | MEDICAID | 600008780 | |
| Missouri | Other | 2141673 |
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