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:
Map and Directions
Authorized official contact:
Name: Mcroberts, Kevin
Phone: (573) 348-8756

Health care specialties

SpecialtyCodeLicense #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 2 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 1134233109 NPPES
Missouri MEDICAID 605918507
Missouri Other 2048736

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