Grand Pharmacy

LBN: Gpmo, Inc
Grand Pharmacy is an health care organization with primary practice located at 733 Grand Ave , Hannibal MO 63401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gpmo, Inc can be contacted via phone (573) 221-2792, or through Gilmore, Gregory Yates via phone (573) 221-2792.

Contact Information

Primary practice address
733 Grand Ave Hannibal MO 63401
Phone: (573) 221-2792
Fax: (573) 221-4468
Website:
Map and Directions
Authorized official contact:
Name: Gilmore, Gregory Yates R.PH.
Phone: (573) 221-2792

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 004527 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477625267
LBN Legal business name Gpmo, Inc
DBA Doing business as Grand Pharmacy
Authorized official Gilmore, Gregory Yates R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 1st, 2024 - about 4 months 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 1477625267 NPPES
Missouri MEDICAID 602201303
Missouri Other 2050666

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