St Anthonys Retail Pharmacy
LBN: St Anthonys Professional Pharmacy Llc
St Anthonys Retail Pharmacy is an health care organization with primary practice located at 10004 Kennerly Rd Suite 130, Saint Louis MO 63128-2141. 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.
St Anthonys Professional Pharmacy Llc can be contacted via phone (314) 525-4777, or through Venuto, Ken via phone (314) 525-7340.
Contact Information
Primary practice address
10004 Kennerly Rd Suite 130
Saint Louis MO 63128-2141
Phone: (314) 525-4777
Fax: (314) 525-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2000160057 | Missouri |
Profile Details
| NPI number | 1053357566 |
|---|---|
| LBN Legal business name | St Anthonys Professional Pharmacy Llc |
| DBA Doing business as | St Anthonys Retail Pharmacy |
| Authorized official | Venuto, Ken RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 14th, 2016 - about 9 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 | 1053357566 | NPPES |
| Missouri | MEDICAID | 600307409 | |
| Missouri | Other | 2047126 |
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