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 12330 Metcalf Ave , Overland Park KS 66213-1324. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Saint Luke'S South Hospital, Inc can be contacted via phone (913) 317-7604, or through Wagner, Lawrence A via phone (913) 317-7604.

Contact Information

Primary practice address
12330 Metcalf Ave Overland Park KS 66213-1324
Phone: (913) 317-7604
Fax: (913) 317-7597
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Lawrence A RPH
Phone: (913) 317-7604

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 209147 Kansas

Profile Details

NPI number 1588765937
LBN Legal business name Saint Luke'S South Hospital, Inc
DBA Doing business as Saint Luke'S South Retail Pharmacy
Authorized official Wagner, Lawrence A RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jun 8th, 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 1588765937 NPPES
Kansas MEDICAID 100332210C
Kansas MEDICAID 603988403
Kansas Other 9004128

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