Sam'S Health Mart Pharmacy # 2 (Long-Term Care)
LBN: Sam'S Prescription Shop, Inc.
Sam'S Health Mart Pharmacy # 2 (Long-Term Care) is an health care organization with primary practice located at 530 East 24 Highway , Moberly MO 65270. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Sam'S Prescription Shop, Inc. can be contacted via phone (660) 263-0615, or through Tadrus, Christian via phone (660) 263-3309.
Contact Information
Primary practice address
530 East 24 Highway
Moberly MO 65270
Phone: (660) 263-0615
Fax: (660) 263-1541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2010042682 | Missouri |
Profile Details
| NPI number | 1114470598 |
|---|---|
| LBN Legal business name | Sam'S Prescription Shop, Inc. |
| DBA Doing business as | Sam'S Health Mart Pharmacy # 2 (Long-Term Care) |
| Authorized official | Tadrus, Christian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2016 |
| Last updated | Aug 24th, 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 | 1114470598 | NPPES |
| Other | 2162343 | PK | |
| MEDICAID | 600202824 | PK |
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