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Contact Information

AVA RX LLC
916 SPRINGFIELD RD STE F
AVA, MO65608-5477
 Phone: 417-683-9550
 Fax: 417-250-8002
 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
Indicates primary specialty

NPI Profile & details for AVA RX LLC

NPI Number 1649930868
LBN Legal business name AVA RX LLC
Authorized official KATIE LUCKFIELD - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2021
Last updated 02/10/2022 - About 4 years ago
Identifiers n/a
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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