John'S Pharmacy Poplar Bluff
LBN: Poplar Bluff Pharmacy Llc
John'S Pharmacy Poplar Bluff is an health care organization with primary practice located at 909 W Pine St , Poplar Bluff MO 63901-4958. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Poplar Bluff Pharmacy Llc can be contacted via phone (573) 785-0984, or through Funk, Abraham via phone (573) 785-0984.
Contact Information
Primary practice address
909 W Pine St
Poplar Bluff MO 63901-4958
Phone: (573) 785-0984
Fax: (573) 785-2257
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 2016042382 | Missouri |
Suppliers / Compounding Pharmacy | 3336C0004X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1275084865 |
---|---|
LBN Legal business name | Poplar Bluff Pharmacy Llc |
DBA Doing business as | John'S Pharmacy Poplar Bluff |
Authorized official | Funk, Abraham |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 18th, 2016 |
Last updated | Jun 11th, 2024 - about 3 months 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 | 1275084865 | NPPES |
Missouri | MEDICAID | 600059703 | |
Missouri | Other | 2166615 |
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