Overturf Pharmacy

LBN: Overturf Drug Stores Of Dexter, Inc.
Overturf Pharmacy is an health care organization with primary practice located at 903 West Business Hwy 60 , Dexter MO 63841. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Overturf Drug Stores Of Dexter, Inc. can be contacted via phone (573) 624-6968, or through Boone, Gary via phone (479) 394-6363.

Contact Information

Primary practice address
903 West Business Hwy 60 Dexter MO 63841
Phone: (573) 624-6968
Fax: (573) 624-3635
Website:
Map and Directions
Authorized official contact:
Name: Boone, Gary
Phone: (479) 394-6363

Health care specialties

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

Profile Details

NPI number 1487785358
LBN Legal business name Overturf Drug Stores Of Dexter, Inc.
DBA Doing business as Overturf Pharmacy
Authorized official Boone, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jan 19th, 2010 - about 15 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 1487785358 NPPES
Missouri MEDICAID 620307207
Missouri Other 29795

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