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Contact Information

BRUNER DRUGS, INC.
102 S MAIN ST
CARL JUNCTION, MO64834
 Phone: 417-649-7021
 Fax: 417-649-6269
 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 BRUNER DRUGS, INC.

NPI # 1629025127
LBN Legal business name BRUNER DRUGS, INC.
Authorized official JERRY BOTTS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2006
Last updated 07/24/2018 - About 8 years ago
Identifiers
MO License # 005892
MO Medicaid 600282917
Other 2049616 PK
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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