Whaley'S Southwest Pharmacy

LBN: Whaleys Pharmacy Inc
Whaley'S Southwest Pharmacy is an health care organization with primary practice located at 1431 Southwest Blvd , Jefferson City MO 65109-2491. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Whaleys Pharmacy Inc can be contacted via phone (573) 634-3606, or through Isringhausen, Trevor via phone (573) 634-3606.

Contact Information

Primary practice address
1431 Southwest Blvd Jefferson City MO 65109-2491
Phone: (573) 634-3606
Fax: (573) 634-6206
Website:
Map and Directions
Authorized official contact:
Name: Isringhausen, Trevor
Phone: (573) 634-3606

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2003029844 Missouri

Profile Details

NPI number 1336223460
LBN Legal business name Whaleys Pharmacy Inc
DBA Doing business as Whaley'S Southwest Pharmacy
Authorized official Isringhausen, Trevor
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 18th, 2017 - about 7 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 1336223460 NPPES
Missouri MEDICAID 600198907
Missouri Other 2048929

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