Ssm St. Joseph Hospital-Wentzville Outpatient Pharmacy
LBN: Ssm Health Care St Louis
Ssm St. Joseph Hospital-Wentzville Outpatient Pharmacy is an health care organization with primary practice located at 500 Medical Dr , Wentzville MO 63385-3421. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ssm Health Care St Louis can be contacted via phone (636) 327-1008, or through Spencer, Kimberly via phone (314) 989-2588.
Contact Information
Primary practice address
500 Medical Dr
Wentzville MO 63385-3421
Phone: (636) 327-1008
Fax: (636) 327-1080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2005037444 | Missouri |
Profile Details
| NPI number | 1154728640 |
|---|---|
| LBN Legal business name | Ssm Health Care St Louis |
| DBA Doing business as | Ssm St. Joseph Hospital-Wentzville Outpatient Pharmacy |
| Authorized official | Spencer, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 26th, 2014 |
| Last updated | Oct 18th, 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 | 1154728640 | NPPES |
| Other | 2148633 | PK | |
| MEDICAID | 600019812 | PK |
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