Clark Pharmacy

LBN: Monical Drug Inc
Clark Pharmacy is an health care organization with primary practice located at 101 S Main St , Cimarron KS 67835-8856. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Monical Drug Inc can be contacted via phone (620) 855-2242, or through Monical, Matthew via phone (620) 855-0922.

Contact Information

Primary practice address
101 S Main St Cimarron KS 67835-8856
Phone: (620) 855-2242
Fax: (620) 855-3616
Website:
Map and Directions
Authorized official contact:
Name: Monical, Matthew
Phone: (620) 855-0922

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 213010 Kansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1609203058
LBN Legal business name Monical Drug Inc
DBA Doing business as Clark Pharmacy
Authorized official Monical, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2013
Last updated Aug 12th, 2016 - about 8 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 1609203058 NPPES
Other 2143009 PK
MEDICAID 201089810A PK

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