Pleasant Hill Drug Store

LBN: Pleasant Hill Drug Store Inc
Pleasant Hill Drug Store is an health care organization with primary practice located at 1905 N State Route 7 , Pleasant Hill MO 64080-9366. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pleasant Hill Drug Store Inc can be contacted via phone (816) 540-4000, or through Defever, Alan via phone (913) 515-0462.

Contact Information

Primary practice address
1905 N State Route 7 Pleasant Hill MO 64080-9366
Fax: (816) 540-4341
Website:
Authorized official contact:
Name: Defever, Alan RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2002009963 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1518956093
LBN Legal business name Pleasant Hill Drug Store Inc
DBA Doing business as Pleasant Hill Drug Store
Authorized official Defever, Alan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Apr 12th, 2016 - about 8 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 1518956093 NPPES
Missouri MEDICAID 628237802
Missouri MEDICAID 608237806
Missouri Other 2048807

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