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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1720079551 | NPPES |
Missouri | Other | 2610271 | NABP |
Missouri | MEDICAID | 620245100 | NABP |
Missouri | MEDICAID | 600245104 | NABP |
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