Northwest Pharmacy, Inc

LBN: Northwest Pharmacy, Inc
Northwest Pharmacy, Inc is an health care organization with primary practice located at 2210 Barron Rd , Poplar Bluff MO 63901-1908. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Northwest Pharmacy, Inc can be contacted via phone (573) 686-6211, or through Kleinbeck, Mark T via phone (573) 686-6211.

Contact Information

Primary practice address
2210 Barron Rd Poplar Bluff MO 63901-1908
Phone: (573) 686-6211
Fax: (573) 686-2219
Website:
Map and Directions
Authorized official contact:
Name: Kleinbeck, Mark T RPH
Phone: (573) 686-6211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 620059725 Missouri

Profile Details

NPI number 1245364066
LBN Legal business name Northwest Pharmacy, Inc
DBA Doing business as
Authorized official Kleinbeck, Mark T RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 7th, 2023 - about last year

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 1245364066 NPPES
Missouri MEDICAID 620059725
Missouri Other 1902974140
Missouri Other 2004019998

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