Kneibert Clinic Pharmacy

LBN: St Francis Medical Center
Kneibert Clinic Pharmacy is an health care organization with primary practice located at 225 Physicians Park Ste 100 , Poplar Bluff MO 63901-3918. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St Francis Medical Center can be contacted via phone (573) 778-7774, or through Odom, Tim via phone (573) 778-7774.

Contact Information

Primary practice address
225 Physicians Park Ste 100 Poplar Bluff MO 63901-3918
Fax: (573) 778-7230
Website:
Authorized official contact:
Name: Odom, Tim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306824990
LBN Legal business name St Francis Medical Center
DBA Doing business as Kneibert Clinic Pharmacy
Authorized official Odom, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 5th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306824990 NPPES
Other 2157579 PK
MEDICAID 600295406 PK

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