Randys Pba Rx

LBN: Randy Ackman Inc
Randys Pba Rx is an health care organization with primary practice located at 1012 N Main St , Sikeston MO 63801-5044. 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. Randy Ackman Inc can be contacted via phone (573) 471-0285, or through Ackman, Randy via phone (573) 471-0285.

Contact Information

Primary practice address
1012 N Main St Sikeston MO 63801-5044
Phone: (573) 471-0285
Fax: (573) 471-6219
Website:
Map and Directions
Authorized official contact:
Name: Ackman, Randy RPH
Phone: (573) 471-0285

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 005751 Missouri

Profile Details

NPI number 1033250998
LBN Legal business name Randy Ackman Inc
DBA Doing business as Randys Pba Rx
Authorized official Ackman, Randy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 21st, 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 1033250998 NPPES
Missouri MEDICAID 600123905
Missouri MEDICAID 620123901
Missouri Other 2050797

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