Good Graces Pharmacy
LBN: Good Graces
Good Graces Pharmacy is an health care organization with primary practice located at 857 E Main St Ste 3 , Willow Springs MO 65793-1500. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Good Graces can be contacted via phone (417) 855-1085, or through Gregory, Brandon K via phone (417) 855-1085.
Contact Information
Primary practice address
857 E Main St Ste 3
Willow Springs MO 65793-1500
Phone: (417) 855-1085
Fax: (417) 855-1086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1265033534 |
|---|---|
| LBN Legal business name | Good Graces |
| DBA Doing business as | Good Graces Pharmacy |
| Authorized official | Gregory, Brandon K PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2020 |
| Last updated | Apr 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265033534 | NPPES |
| Missouri | MEDICAID | 600092646 | |
| Missouri | Other | 2500065241 | |
| Missouri | Other | 2020037376 |
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