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Contact Information

SCPG MISSOURI LLC
501 SOUTH MADISON AVE, SUITE S
WEBB CITY, MO64870
 Phone: 501-258-4399
 Fax:
 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 SCPG MISSOURI LLC

NPI Number 1801428495
LBN Legal business name SCPG MISSOURI LLC
Authorized official UMAR FAROOQ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2020
Last updated 11/18/2025 - About 7 months 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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