Family Care Health Centers Pharmacy

LBN: Family Care Health Centers Pharmacy
Family Care Health Centers Pharmacy is an health care organization with primary practice located at 401 Holly Hills Ave , Saint Louis MO 63111-2410. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Family Care Health Centers Pharmacy can be contacted via phone (314) 481-1615, or through Maddox, Kevin via phone (314) 481-1615.

Contact Information

Primary practice address
401 Holly Hills Ave Saint Louis MO 63111-2410
Phone: (314) 481-1615
Fax: (314) 353-1310
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Kevin
Phone: (314) 481-1615

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2003004144 Missouri

Profile Details

NPI number 1700863180
LBN Legal business name Family Care Health Centers Pharmacy
DBA Doing business as
Authorized official Maddox, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 7th, 2023 - 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 1700863180 NPPES
Missouri MEDICAID 606023604
Missouri Other 2003004144
Missouri Other 2634978

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