Missouri Med, Llc
LBN: Missouri Med Llc
Missouri Med, Llc is an health care organization with primary practice located at 2215 Broadway Suite B, Cape Girardeau MO 63701-4403. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Missouri Med Llc can be contacted via phone (573) 803-5500, or through Malik, Shafiq via phone (573) 335-3044.
Contact Information
Primary practice address
2215 Broadway Suite B
Cape Girardeau MO 63701-4403
Phone: (573) 803-5500
Fax: (573) 803-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Nursing Facility Supplies | 332BN1400X | 2018005320 | Missouri |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1518465533 |
|---|---|
| LBN Legal business name | Missouri Med Llc |
| DBA Doing business as | Missouri Med, Llc |
| Authorized official | Malik, Shafiq |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2018 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518465533 | NPPES |
| Missouri | MEDICAID | 600051690 | |
| Missouri | Other | 2176054 |
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