Gosney Pharmacy Ltc

LBN: Gosney Pharmacy Inc
Gosney Pharmacy Ltc is an health care organization with primary practice located at 2900 Saint Marys Ave , Hannibal MO 63401-3715. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gosney Pharmacy Inc can be contacted via phone (573) 248-8322, or through Gsoney, David Brian via phone (573) 248-8322.

Contact Information

Primary practice address
2900 Saint Marys Ave Hannibal MO 63401-3715
Phone: (573) 248-8322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gsoney, David Brian
Phone: (573) 248-8322

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 6017 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X 6017 Missouri

Profile Details

NPI number 1205189040
LBN Legal business name Gosney Pharmacy Inc
DBA Doing business as Gosney Pharmacy Ltc
Authorized official Gsoney, David Brian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 12 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 1205189040 NPPES
Missouri MEDICAID 608272902

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