Saint Luke'S South Retail Pharmacy

LBN: Saint Luke'S South Hospital, Inc
Saint Luke'S South Retail Pharmacy is an health care organization with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Saint Luke'S South Hospital, Inc can be contacted via phone (913) 317-7604, or through Marino, Matthew via phone (816) 347-4782.

Contact Information

Primary practice address
12300 Metcalf Ave Overland Park KS 66213
Phone: (913) 317-7604
Fax: (913) 317-7597
Website:
Map and Directions
Authorized official contact:
Name: Marino, Matthew
Phone: (816) 347-4782

Health care specialties

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

Profile Details

NPI number 1457490013
LBN Legal business name Saint Luke'S South Hospital, Inc
DBA Doing business as Saint Luke'S South Retail Pharmacy
Authorized official Marino, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2007
Last updated Aug 1st, 2019 - about 5 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 1457490013 NPPES
Kansas MEDICAID 100332210C
Kansas MEDICAID 603988403

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