Montezuma Drug
LBN: Montezuma Drug Llc
Montezuma Drug is an health care organization with primary practice located at 300 N Aztec St , Montezuma KS 67867-8874. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Montezuma Drug Llc can be contacted via phone (620) 846-2202, or through Helm, Jami via phone (620) 846-2202.
Contact Information
Primary practice address
300 N Aztec St
Montezuma KS 67867-8874
Phone: (620) 846-2202
Fax: (620) 846-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-13042 | Kansas |
Profile Details
| NPI number | 1083029359 |
|---|---|
| LBN Legal business name | Montezuma Drug Llc |
| DBA Doing business as | Montezuma Drug |
| Authorized official | Helm, Jami |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jun 24th, 2020 - about 5 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 | 1083029359 | NPPES |
| Other | 2147191 | PK | |
| MEDICAID | 201107230A | PK |
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