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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033250998 | NPPES |
Missouri | MEDICAID | 600123905 | |
Missouri | MEDICAID | 620123901 | |
Missouri | Other | 2050797 |
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