Healthcare Healthwise Pharmacy

LBN: Health Care Pharmacy Of Perryville, Llc
Healthcare Healthwise Pharmacy is an health care organization with primary practice located at 628 N Old St Marys Rd , Perryville MO 63775. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Health Care Pharmacy Of Perryville, Llc can be contacted via phone (573) 547-2517, or through Grogg, Savanna via phone (573) 535-4911.

Contact Information

Primary practice address
628 N Old St Marys Rd Perryville MO 63775
Phone: (573) 547-2517
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grogg, Savanna
Phone: (573) 535-4911

Health care specialties

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

Profile Details

NPI number 1902461908
LBN Legal business name Health Care Pharmacy Of Perryville, Llc
DBA Doing business as Healthcare Healthwise Pharmacy
Authorized official Grogg, Savanna
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2019
Last updated Dec 3rd, 2021 - about 3 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 1902461908 NPPES
Missouri MEDICAID 600123608

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