Mom And Pop Drug #1 Specialty

LBN: L&J Pharmacy Inc
Mom And Pop Drug #1 Specialty is an health care organization with primary practice located at 319 S Main St Ste N-2 , Rogersville MO 65742-9361. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. L&J Pharmacy Inc can be contacted via phone (417) 753-7774, or through Coker, Jim via phone (417) 459-1436.

Contact Information

Primary practice address
319 S Main St Ste N-2 Rogersville MO 65742-9361
Phone: (417) 753-7774
Fax: (417) 753-7786
Website:
Map and Directions
Authorized official contact:
Name: Coker, Jim
Phone: (417) 459-1436

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 2013045671 Missouri
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1083035760
LBN Legal business name L&J Pharmacy Inc
DBA Doing business as Mom And Pop Drug #1 Specialty
Authorized official Coker, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2013
Last updated Feb 13th, 2014 - about 10 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 1083035760 NPPES
Other 2143040 PK

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