Tara Pharmacy Se Llc

LBN: Tara Pharrmacy Se Llc
Tara Pharmacy Se Llc is an health care organization with primary practice located at 11643 Lilburn Park Rd , Saint Louis MO 63146-3535. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Tara Pharrmacy Se Llc can be contacted via phone (314) 567-7239, or through Cox, James R. via phone (601) 664-1664.

Contact Information

Primary practice address
11643 Lilburn Park Rd Saint Louis MO 63146-3535
Phone: (314) 567-7239
Fax: (314) 995-8524
Website:
Map and Directions
Authorized official contact:
Name: Cox, James R. PHARM D
Phone: (601) 664-1664

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2009019258 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X 054.018470 Illinois

Profile Details

NPI number 1720218506
LBN Legal business name Tara Pharrmacy Se Llc
DBA Doing business as Tara Pharmacy Se Llc
Authorized official Cox, James R. PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2009
Last updated Feb 25th, 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 1720218506 NPPES
Other 2121154 PK
MEDICAID 606430403 PK
MEDICAID 20475756 PK

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