Matt'S Medicine Store

LBN: Matt'S Rx,Llc
Matt'S Medicine Store is an health care organization with primary practice located at 11200 1-2 E Us Highway 24 , Independence MO 64054-1514. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Matt'S Rx,Llc can be contacted via phone (816) 833-3636, or through Mallinson, Charles Matthew via phone (816) 833-3636.

Contact Information

Primary practice address
11200 1-2 E Us Highway 24 Independence MO 64054-1514
Phone: (816) 833-3636
Fax: (816) 833-1071
Website:
Map and Directions
Authorized official contact:
Name: Mallinson, Charles Matthew
Phone: (816) 833-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 004747 Missouri

Profile Details

NPI number 1073551495
LBN Legal business name Matt'S Rx,Llc
DBA Doing business as Matt'S Medicine Store
Authorized official Mallinson, Charles Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 8th, 2009 - about 15 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 1073551495 NPPES
Missouri MEDICAID 602442402
Missouri MEDICAID 622442408

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