West Plains Health Mart Pharmacy

LBN: Rkj Rx Inc
West Plains Health Mart Pharmacy is an health care organization with primary practice located at 1453 Gibson St , West Plains MO 65775-1870. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rkj Rx Inc can be contacted via phone (417) 256-7706, or through Jensen, Ronald via phone (417) 256-7706.

Contact Information

Primary practice address
1453 Gibson St West Plains MO 65775-1870
Phone: (417) 256-7706
Fax: (417) 257-2512
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Ronald RPH
Phone: (417) 256-7706

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2009018216 Missouri

Profile Details

NPI number 1962516930
LBN Legal business name Rkj Rx Inc
DBA Doing business as West Plains Health Mart Pharmacy
Authorized official Jensen, Ronald RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 26th, 2012 - about 12 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 1962516930 NPPES
Missouri MEDICAID 601716103
Missouri Other 2619370

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