Kilgore'S Medical Pharmacy

LBN: Kilgore Inc
Kilgore'S Medical Pharmacy is an health care organization with primary practice located at 700 N Providence Rd , Columbia MO 65203-4373. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kilgore Inc can be contacted via phone (573) 442-0194, or through Bromstedt, Ann via phone (573) 442-0194.

Contact Information

Primary practice address
700 N Providence Rd Columbia MO 65203-4373
Phone: (573) 442-0194
Fax: (573) 443-8253
Website:
Map and Directions
Authorized official contact:
Name: Bromstedt, Ann
Phone: (573) 442-0194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2008000930 Missouri
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417901646
LBN Legal business name Kilgore Inc
DBA Doing business as Kilgore'S Medical Pharmacy
Authorized official Bromstedt, Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jan 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417901646 NPPES
Missouri MEDICAID 850587205
Missouri Other 2047047
Missouri MEDICAID 600587208
Missouri MEDICAID 620587204
Missouri MEDICAID 600587205

Popular Providers