Medicate Pharmacy
LBN: Fredericktown Medicate Pharmacy
Medicate Pharmacy is an health care organization with primary practice located at 111 E Main St , Fredericktown MO 63645-1123. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fredericktown Medicate Pharmacy can be contacted via phone (573) 783-5508, or through Obrien, Patrick via phone (573) 783-5508.
Contact Information
Primary practice address
111 E Main St
Fredericktown MO 63645-1123
Phone: (573) 783-5508
Fax: (573) 783-3289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 002797 | Missouri |
Profile Details
| NPI number | 1144266651 |
|---|---|
| LBN Legal business name | Fredericktown Medicate Pharmacy |
| DBA Doing business as | Medicate Pharmacy |
| Authorized official | Obrien, Patrick RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Dec 12th, 2008 - about 16 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 | 1144266651 | NPPES |
| Missouri | MEDICAID | 620203307 | |
| Missouri | Other | 2606501 | |
| Missouri | MEDICAID | 600203301 |
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