Main Street Pharmacy

LBN: Pharmacy Care Pa
Main Street Pharmacy is an health care organization with primary practice located at 113 E. Main , Coldwater KS 67029-0236. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmacy Care Pa can be contacted via phone (620) 582-2134, or through Gales, Lisa via phone (620) 582-2134.

Contact Information

Primary practice address
113 E. Main Coldwater KS 67029-0236
Fax: (620) 582-2920
Website:
Authorized official contact:
Name: Gales, Lisa PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2-09647 Kansas
Suppliers / Compounding Pharmacy 3336C0004X 2-09647 Kansas
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 2-09647 Kansas
Suppliers / Long Term Care Pharmacy 3336L0003X 2-09647 Kansas

Profile Details

NPI number 1407862287
LBN Legal business name Pharmacy Care Pa
DBA Doing business as Main Street Pharmacy
Authorized official Gales, Lisa PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 4th, 2015 - about 9 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 1407862287 NPPES
Kansas MEDICAID 100445020A
Kansas Other 1701920
Kansas Other 2-09647

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