Jefferson City Apothecary

LBN: Jefferson City Apothecary Llc
Jefferson City Apothecary is an health care organization with primary practice located at 1739 Elm Ct Ste 108 , Jefferson City MO 65101-4303. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jefferson City Apothecary Llc can be contacted via phone (573) 634-8300, or through Pironis, Uldis via phone (573) 634-8300.

Contact Information

Primary practice address
1739 Elm Ct Ste 108 Jefferson City MO 65101-4303
Fax: (573) 634-8399
Website:
Authorized official contact:
Name: Pironis, Uldis

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2003010139 Missouri

Profile Details

NPI number 1023113248
LBN Legal business name Jefferson City Apothecary Llc
DBA Doing business as Jefferson City Apothecary
Authorized official Pironis, Uldis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Dec 18th, 2016 - about 8 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 1023113248 NPPES
Other 2048898 PK
MEDICAID 606058402 PK

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