Price Chopper Pharmacy

LBN: Hac, Inc.
Price Chopper Pharmacy is an health care organization with primary practice located at 3734 Pear St , Saint Joseph MO 64503-1507. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hac, Inc. can be contacted via phone (816) 236-2062, or through Hines, Gerald via phone (405) 216-2233.

Contact Information

Primary practice address
3734 Pear St Saint Joseph MO 64503-1507
Phone: (816) 236-2062
Fax: (816) 232-2064
Website:
Map and Directions
Authorized official contact:
Name: Hines, Gerald
Phone: (405) 216-2233

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2005041200 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X 2005041200 Missouri

Profile Details

NPI number 1770504730
LBN Legal business name Hac, Inc.
DBA Doing business as Price Chopper Pharmacy
Authorized official Hines, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated May 15th, 2008 - about 17 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 1770504730 NPPES
Missouri MEDICAID 604973107
Missouri MEDICAID 200381320K
Missouri Other 2633205

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