Green Hills Pharmacy
LBN: Gardner Pharmacy Services Inc
Green Hills Pharmacy is an health care organization with primary practice located at 712 S Main St , Brookfield MO 64628-2307. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gardner Pharmacy Services Inc can be contacted via phone (660) 258-2122, or through Gardner, David via phone (660) 258-2122.
Contact Information
Primary practice address
712 S Main St
Brookfield MO 64628-2307
Phone: (660) 258-2122
Fax: (660) 258-7338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2001021786 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1639126139 |
|---|---|
| LBN Legal business name | Gardner Pharmacy Services Inc |
| DBA Doing business as | Green Hills Pharmacy |
| Authorized official | Gardner, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1639126139 | NPPES |
| Other | 2048722 | PK | |
| MEDICAID | 605350602 | PK |
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