Roberts Drug Store, Llc
LBN: Roberts Drug Store, Llc
Roberts Drug Store, Llc is an health care organization with primary practice located at 3501 W Truman Blvd Suite H, Jefferson City MO 65109-5715. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Roberts Drug Store, Llc can be contacted via phone (573) 556-5551, or through Roberts, Kimberly Ann via phone (573) 821-2438.
Contact Information
Primary practice address
3501 W Truman Blvd Suite H
Jefferson City MO 65109-5715
Phone: (573) 556-5551
Fax: (573) 556-5552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2018007651 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2018007651 | Missouri |
Profile Details
| NPI number | 1811205271 |
|---|---|
| LBN Legal business name | Roberts Drug Store, Llc |
| DBA Doing business as | |
| Authorized official | Roberts, Kimberly Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2010 |
| Last updated | Mar 10th, 2018 - about 6 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 | 1811205271 | NPPES |
| Missouri | MEDICAID | 606488302 |
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