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 65109-2468. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care 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 65109-2468
Phone: (573) 634-3606
Fax: (573) 634-6206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 2000143574 | Missouri |
Profile Details
| NPI number | 1568546307 |
|---|---|
| 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 | Feb 19th, 2020 - about 4 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 | 1568546307 | NPPES |
| Other | 2048333 | PK | |
| MEDICAID | 600198915 | PK | |
| MEDICAID | 604791301 | PK |
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