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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417901646 | NPPES |
| Missouri | MEDICAID | 850587205 | |
| Missouri | Other | 2047047 | |
| Missouri | MEDICAID | 600587208 | |
| Missouri | MEDICAID | 620587204 | |
| Missouri | MEDICAID | 600587205 |
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