St. Clair Health Mart Pharmacy

LBN: St Clair Rexall Drug Store
St. Clair Health Mart Pharmacy is an health care organization with primary practice located at 855 N Commercial Ave , Saint Clair MO 63077-1118. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Clair Rexall Drug Store can be contacted via phone (636) 629-0710, or through Lindemann, Susan Elizabeth via phone (636) 629-0710.

Contact Information

Primary practice address
855 N Commercial Ave Saint Clair MO 63077-1118
Phone: (636) 629-0710
Fax: (636) 629-4408
Website:
Map and Directions
Authorized official contact:
Name: Lindemann, Susan Elizabeth RPH
Phone: (636) 629-0710

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 002865 Missouri
Suppliers / Pharmacy 333600000X 2865 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720079551
LBN Legal business name St Clair Rexall Drug Store
DBA Doing business as St. Clair Health Mart Pharmacy
Authorized official Lindemann, Susan Elizabeth RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720079551 NPPES
Missouri Other 2610271 NABP
Missouri MEDICAID 620245100 NABP
Missouri MEDICAID 600245104 NABP

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