Rider Drug Inc
LBN: Rider Drug Inc
Rider Drug Inc is an health care organization with primary practice located at 1207 S Baltimore St , Kirksville MO 63501-4528. 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.
Rider Drug Inc can be contacted via phone (660) 665-4666, or through Harris, Craig via phone (660) 665-4666.
Contact Information
Primary practice address
1207 S Baltimore St
Kirksville MO 63501-4528
Phone: (660) 665-4666
Fax: (660) 665-2257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 004254 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1215014188 |
|---|---|
| LBN Legal business name | Rider Drug Inc |
| DBA Doing business as | Rider Drug Inc |
| Authorized official | Harris, Craig RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Dec 5th, 2022 - about 2 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 | 1215014188 | NPPES |
| Missouri | MEDICAID | RI600131510 | |
| Missouri | Other | 2049000 |
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