Burton Creek Pharmacy

LBN: Gant Pharmacy Services Inc
Burton Creek Pharmacy is an health care organization with primary practice located at 805 N Kentucky Ave Ste 2 , West Plains MO 65775-2045. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Gant Pharmacy Services Inc can be contacted via phone (417) 256-2274, or through Gant, Russell via phone (417) 256-2274.

Contact Information

Primary practice address
805 N Kentucky Ave Ste 2 West Plains MO 65775-2045
Phone: (417) 256-2274
Fax: (417) 256-1036
Website:
Map and Directions
Authorized official contact:
Name: Gant, Russell
Phone: (417) 256-2274

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1063927010
LBN Legal business name Gant Pharmacy Services Inc
DBA Doing business as Burton Creek Pharmacy
Authorized official Gant, Russell
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 12th, 2017
Last updated Dec 12th, 2017 - about 7 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 1063927010 NPPES
Missouri MEDICAID 600305510

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