Infinium Pharmacy

LBN: Missouri Ltc Pharmacy Llc
Infinium Pharmacy is an health care organization with primary practice located at 1617 Manufacturers Dr , Fenton MO 63026-2838. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Missouri Ltc Pharmacy Llc can be contacted via phone (314) 690-4500, or through Ceriotti, Janice via phone (314) 690-4500.

Contact Information

Primary practice address
1617 Manufacturers Dr Fenton MO 63026-2838
Phone: (314) 690-4500
Fax: (314) 690-4502
Website:
Map and Directions
Authorized official contact:
Name: Ceriotti, Janice
Phone: (314) 690-4500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1134668445
LBN Legal business name Missouri Ltc Pharmacy Llc
DBA Doing business as Infinium Pharmacy
Authorized official Ceriotti, Janice
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2017
Last updated Apr 6th, 2022 - 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 1134668445 NPPES
Missouri MEDICAID 600043834
Missouri Other 2167982

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