Stephens Pharmacy
LBN: Stephens Pharmacy Inc
Stephens Pharmacy is an health care organization with primary practice located at 1100 S Springfield Ave , Bolivar MO 65613-2512. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Stephens Pharmacy Inc can be contacted via phone (417) 326-2416, or through Stephens, Micheal via phone (417) 326-2416.
Contact Information
Primary practice address
1100 S Springfield Ave
Bolivar MO 65613-2512
Phone: (417) 326-2416
Fax: (417) 326-6625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 006309 | Missouri |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1093726630 |
|---|---|
| LBN Legal business name | Stephens Pharmacy Inc |
| DBA Doing business as | Stephens Pharmacy |
| Authorized official | Stephens, Micheal RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 22nd, 2015 - 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 | 1093726630 | NPPES |
| Missouri | MEDICAID | 620749002 DME | |
| Missouri | Other | 2049470 | |
| Missouri | MEDICAID | 600749006 |
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