Sam'S Health Mart Pharmacies
LBN: Sam'S Prescription Shop, Inc.
Sam'S Health Mart Pharmacies is an health care organization with primary practice located at 300 N. Morley Street , Moberly MO 65270. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pharmacology, Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Suppliers / Hearing Aid Equipment, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sam'S Prescription Shop, Inc. can be contacted via phone (660) 263-0909, or through Tadrus, Christian S via phone (660) 263-3309.
Contact Information
Primary practice address
300 N. Morley Street
Moberly MO 65270
Phone: (660) 263-0909
Fax: (660) 263-2124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pharmacology | 208U00000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Hearing Aid Equipment | 332S00000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1245709682 |
|---|---|
| LBN Legal business name | Sam'S Prescription Shop, Inc. |
| DBA Doing business as | Sam'S Health Mart Pharmacies |
| Authorized official | Tadrus, Christian S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2018 |
| 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 | 1245709682 | NPPES |
| Other | MA3507 | MEDICARE MASS IMMUNIZATION BILLING NUMBER | |
| Other | 10735224 | MEDICARE MASS IMMUNIZATION BILLING NUMBER |
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