Grove Pharmacy South
LBN: Grove Professional Pharmacy Inc
Grove Pharmacy South is an health care organization with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grove Professional Pharmacy Inc can be contacted via phone (417) 883-6800, or through Grove, Gary via phone (417) 881-2910.
Contact Information
Primary practice address
1001 E Primrose St
Springfield MO 65807-5155
Phone: (417) 883-6800
Fax: (417) 883-3006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 004562 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1275615064 |
|---|---|
| LBN Legal business name | Grove Professional Pharmacy Inc |
| DBA Doing business as | Grove Pharmacy South |
| Authorized official | Grove, Gary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Sep 19th, 2012 - about 13 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 | 1275615064 | NPPES |
| Other | 2623038 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 600309827 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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