Northwest Pharmacy
LBN: Northwest Pharmacy Inc
Northwest Pharmacy is an health care organization with primary practice located at 2210 Barron Rd , Poplar Bluff MO 63901-1908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Northwest Pharmacy Inc can be contacted via phone (573) 686-6211, or through Kleinbeck, Mark 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2004019998 | Missouri |
Profile Details
| NPI number | 1902974140 |
|---|---|
| LBN Legal business name | Northwest Pharmacy Inc |
| DBA Doing business as | Northwest Pharmacy |
| Authorized official | Kleinbeck, Mark RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Nov 16th, 2011 - about 13 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 | 1902974140 | NPPES |
| Other | 2627492 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 600059729 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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