Evercare Pharmacy, Llc

LBN: Evercare Pharmacy, Llc
Evercare Pharmacy, Llc is an health care organization with primary practice located at 21748 Us Highway 65 , Princeton MO 64673-7865. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Evercare Pharmacy, Llc can be contacted via phone (660) 748-4048, or through King, Melissa D. via phone (660) 359-5700.

Contact Information

Primary practice address
21748 Us Highway 65 Princeton MO 64673-7865
Phone: (660) 748-4048
Fax: (660) 748-4044
Website:
Map and Directions
Authorized official contact:
Name: King, Melissa D.
Phone: (660) 359-5700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1861134769
LBN Legal business name Evercare Pharmacy, Llc
DBA Doing business as
Authorized official King, Melissa D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2022
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861134769 NPPES
Missouri Other 2500053848 STATE CONTROLLED SUBSTANCE BNDD
Missouri MEDICAID 600068902 STATE CONTROLLED SUBSTANCE BNDD
Missouri Other 2019013879 STATE CONTROLLED SUBSTANCE BNDD

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