Olive Branch Trading Co

LBN: Evans Drugs Lockwood
Olive Branch Trading Co is an health care organization with primary practice located at 725 Main St , Lockwood MO 65682-9803. 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 Lockwood can be contacted via phone (417) 232-4721, or through Mccullough, Kevin Alan via phone (417) 876-3313.

Contact Information

Primary practice address
725 Main St Lockwood MO 65682-9803
Phone: (417) 232-4721
Fax: (417) 232-5099
Website:
Map and Directions
Authorized official contact:
Name: Mccullough, Kevin Alan
Phone: (417) 876-3313

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 005035 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1285650135
LBN Legal business name Evans Drugs Lockwood
DBA Doing business as Olive Branch Trading Co
Authorized official Mccullough, Kevin Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 28th, 2020 - about 4 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 1285650135 NPPES
Missouri MEDICAID 600118509
Missouri Other 2051138

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