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Contact Information

ASH GROVE PHARMACY INC
490 N MEDICAL DR
ASH GROVE, MO65604-1004
 Phone: 417-751-2111
 Fax: 417-751-3112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ASH GROVE PHARMACY INC

NPI # 1053425025
LBN Legal business name ASH GROVE PHARMACY INC
Authorized official WHITNEY GROVE - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 06/09/2021 - About 5 years ago
Identifiers
MO License # 004465
MO Medicaid 601689003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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