Lake Regional Pharmacy - Obmp
LBN: Lake Regional Medical Management, Inc
Lake Regional Pharmacy - Obmp is an health care organization with primary practice located at 1057B Medical Park Dr , Osage Beach MO 65065-3000. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Lake Regional Medical Management, Inc can be contacted via phone (573) 302-2700, or through Mcroberts, Kevin via phone (573) 348-8756.
Contact Information
Primary practice address
1057B Medical Park Dr
Osage Beach MO 65065-3000
Phone: (573) 302-2700
Fax: (573) 302-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 2001028176 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1134233109 |
|---|---|
| LBN Legal business name | Lake Regional Medical Management, Inc |
| DBA Doing business as | Lake Regional Pharmacy - Obmp |
| Authorized official | Mcroberts, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Oct 16th, 2023 - about last year |
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 | 1134233109 | NPPES |
| Missouri | MEDICAID | 605918507 | |
| Missouri | Other | 2048736 |
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